Individual provider Active NPI

Angela Stenson, OTRL

  • Occupational Therapist
  • Heath, OH
National Provider Identifier
1912104779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07-004843 Issued in OH
Practice address
667 Hopewell Dr
Heath, OH 43055-1579
Phone
(740) 344-6557
Fax
(740) 522-4634
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 07-004843 OH Primary

Addresses

Primary practice location

667 Hopewell Dr
Heath, OH 43055-1579

Mailing address

667 Hopewell Dr
Heath, OH 43055-1579
Phone (740) 344-6557

Other identifiers 1

IdentifierTypeStateIssuer
2155984MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
07-004843OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Right, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912104779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 HOPEWELL DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430551579",
            "telephone_number": "740-344-6557",
            "fax_number": "740-522-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 HOPEWELL DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430551579",
            "telephone_number": "740-344-6557",
            "fax_number": "740-522-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSON",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "07-004843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.