Individual provider Active NPI

Angela S Stone, OTR L

  • Occupational Therapist
  • Hickory, NC
National Provider Identifier
1891767919
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4828 Issued in NC
Practice address
1087 13TH St SE
Childrens Neurotherapy Services
Hickory, NC 28602-4165
Phone
(828) 267-1688
Fax
(828) 268-1690
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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 4828 NC Primary

Addresses

Primary practice location

1087 13TH St SE
Childrens Neurotherapy Services
Hickory, NC 28602-4165

Mailing address

1087 13TH St SE
Childrens Neurotherapy Services
Hickory, NC 28602-4165
Phone (828) 267-1688

Other identifiers 5

IdentifierTypeStateIssuer
7301554MedicaidNC
11313108OtherCAQH
B6419OtherNCMEDCOST
9248630OtherPHCS
131E9OtherNCBCBS

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

LicenseStateTypeSpecialty
4828NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Neurotherapy Services Past Accepting new patients
Childrens Neurotherapy Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1891767919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 13TH ST SE",
            "address_2": "CHILDRENS NEUROTHERAPY SERVICES",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "828-267-1688",
            "fax_number": "828-268-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 13TH ST SE",
            "address_2": "CHILDRENS NEUROTHERAPY SERVICES",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "828-267-1688",
            "fax_number": "828-268-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "ANGELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301554",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11313108",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B6419",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9248630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131E9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.