Active NPI
Angela Evans
- Occupational Therapist
- Aiken, SC
National Provider Identifier
1811446388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3526
- Practice address
- 6140 Woodside Executive CT
Aiken, SC 29803-3820 - Phone
- (803) 642-0700
- Fax
- (803) 642-0588
- NPI assigned
- Sep 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3526 | SC | Primary |
Addresses
Primary practice location
6140 Woodside Executive CT
Aiken, SC 29803-3820
Mailing address
6140 Woodside Executive CT
Aiken, SC 29803-3820
Phone (803) 642-0700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3526 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy of Aiken, LLC | Occupational Therapist | Past | Accepting new patients |
| Pediatric Therapy of Aiken, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Aiken, SC
- NPI 1164661609
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1588002026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1811446388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 WOODSIDE EXECUTIVE CT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298033820",
"telephone_number": "803-642-0700",
"fax_number": "803-642-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 WOODSIDE EXECUTIVE CT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298033820",
"telephone_number": "803-642-0700",
"fax_number": "803-642-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
- Robin Newsome Etheredge, SLP
- Christopher Michael Ethridge, DC
- Kevin Glenn Eubanks, D.M.D.
- Megan Allen Eubanks, OT
- Euphoria Naturals Modern Esthetics & Wellness
- Whitney Virginia Evans, DNP, APRN, PMHNP-BC
- Evernorth Care Providers - Tennessee PC
- Evolve Managed Care Solutions
- Extraordinary Services LLC
- Eye Guys Carolina LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.