Active NPI
Angela Christine Cook, OT
- Occupational Therapist
- Lorenzo, TX
National Provider Identifier
1831869130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114979
- Practice address
- 1003 3Rd Street
Lorenzo, TX 79343 - Phone
- (806) 634-5591
- NPI assigned
- Sep 17, 2021
- Last updated
- Sep 17, 2021
- 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 | 114979 | TX | Primary |
Addresses
Primary practice location
1003 3Rd Street
Lorenzo, TX 79343
Mailing address
601 W 7TH St
Idalou, TX 79329-9018
Phone (318) 617-9318
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 |
|---|---|---|---|
| 114979 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1831869130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 7TH ST",
"city": "IDALOU",
"state": "TX",
"postal_code": "793299018",
"telephone_number": "318-617-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 3RD STREET",
"city": "LORENZO",
"state": "TX",
"postal_code": "79343",
"telephone_number": "806-634-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ANGELA",
"middle_name": "CHRISTINE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorenzo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.