Individual provider Active NPI

Angeline Villaluz Danan, OTR

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1861091084
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121171 Issued in TX
Practice address
4009 Bellaire Blvd
Houston, TX 77025-1168
Phone
(713) 839-7800
Fax
(713) 839-7931
NPI assigned
Oct 19, 2020
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 121171 TX Primary

Addresses

Primary practice location

4009 Bellaire Blvd
Houston, TX 77025-1168

Mailing address

4009 Bellaire Blvd
Houston, TX 77025-1168
Phone (713) 839-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210115000532 TX Practitioner - Occupational Therapist in Private Practice 4385057488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Oct 30, 2020 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Oct 30, 2020 Accepting new patients
Georges Therapy Team, LLC PastSince Mar 12, 2023 Accepting new patients
Action Therapy Centers Limited PastSince Mar 12, 2023 Accepting new patients
Action Therapy Centers Limited Past Accepting new patients

Locations

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1861091084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251168",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251168",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAN",
        "first_name": "ANGELINE",
        "middle_name": "VILLALUZ",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.