Individual provider Active NPI

Angela Barton, OTR

  • Occupational Therapist
  • Brookfield, WI
National Provider Identifier
1912429580
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2489 Issued in WI
Practice address
17700 W Capitol Dr Stop 6
Brookfield, WI 53045
Phone
(262) 781-3083
NPI assigned
Jul 14, 2017
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 2489 WI Primary

Addresses

Primary practice location

17700 W Capitol Dr Stop 6
Brookfield, WI 53045

Mailing address

5926 Douglas Ave Apt 2
Racine, WI 53402-5506
Phone (262) 395-5005

Other practice location 1

220 Haven Drive
Sheboygan Falls, WI 53085
Phone (920) 550-5254

Other practice location 2

3508 7th Ave
Kenosha, WI 53140-2502
Phone (262) 395-5005

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
2489WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1912429580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 DOUGLAS AVE APT 2",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534025506",
            "telephone_number": "262-395-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 W CAPITOL DR STOP 6",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045",
            "telephone_number": "262-781-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Haven Drive",
            "address_purpose": "LOCATION",
            "city": "Sheboygan Falls",
            "state": "WI",
            "postal_code": "53085",
            "country_code": "US",
            "telephone_number": "920-550-5254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3508 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531402502",
            "country_code": "US",
            "telephone_number": "262-395-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTON",
        "first_name": "ANGELA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.