Active NPI
Angelina Smith, OTR/L
- Pediatric Occupational Therapist
- Niles, OH
National Provider Identifier
1730683293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT012371
- Practice address
- 950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626 - Phone
- (330) 505-1606
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT012371 | OH | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT.0005381 | CO |
Addresses
Primary practice location
950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626
Mailing address
950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626
Phone (330) 505-1606
Other practice location 1
8561 Market St
Boardman, OH 44512-6727
Phone (309) 532-3833
Other names 1
- Angelina Gresko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0005381 | CO | MD | Pediatric Occupational Therapist |
| OT012371 | OH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Choice LLC | Current | Accepting new patients | |
| Aaris Therapy Group, Inc | Pediatrics | Current | Accepting new patients |
| Lock and Key ABA Therapy Group | Past | Accepting new patients |
Locations
950 Youngstown Warren Rd
Ste A
Niles, OH 44446
Phone (330) 505-1606
8561 Market St
Youngstown, OH 44512
Phone (330) 953-2383
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Boardman, OH
- NPI 1568798544
-
- Behavior Analyst
- Boardman, OH
- NPI 1558216168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1730683293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 YOUNGSTOWN WARREN RD STE A",
"city": "NILES",
"state": "OH",
"postal_code": "444464626",
"telephone_number": "330-505-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 YOUNGSTOWN WARREN RD STE A",
"city": "NILES",
"state": "OH",
"postal_code": "444464626",
"telephone_number": "330-505-1606"
}
],
"practiceLocations": [
{
"address_1": "8561 Market St",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445126727",
"country_code": "US",
"telephone_number": "309-532-3833",
"fax_number": "330-953-2384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ANGELINA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT012371",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0005381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINA",
"last_name": "GRESKO",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.