Angela Nyberg, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTP-OT-LIC-4728 Issued in MT

Practice address

236 Indiana St
Chinook, MT 59523-9716

Phone

(406) 344-8080

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eggleston Therapy LLC

  dba Hi-Line Pediatric Therapy

  • Occupational Therapist
  • Chinook, MT
  • NPI 1063083830
  NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1891487617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 86TH AVE W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595018302",
            "telephone_number": "406-451-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 INDIANA ST",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595239716",
            "telephone_number": "406-344-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "OTP-OT-LIC-4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Lynn Labuda, LCSW
• Lea Anne Lewis, LCPC
• Hillary T Maxwell, LCSW
• My Hearing Centers, LLC
• Joseph Z Nemes, M.D.
• Larry G Obie, OD
• Alexandra Doris Rowland, DPT
• Lane Seymour, PT
• Dayna Lynn Springer, PT
• Sweet Memorial Nursing Home

• Pediatric Occupational Therapist in Chinook, MT
• Providers in Chinook, MT by specialty
• Pediatric Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.