Active NPI
Angelina Lily Rico, BS, COTA/L
- Occupational Therapy Assistant
- Apple Valley, CA
National Provider Identifier
1972264745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6257
- Practice address
- 17800 US Highway 18
Apple Valley, CA 92307-1221 - Phone
- (760) 646-8000
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 6257 | CA | Primary |
Addresses
Primary practice location
17800 US Highway 18
Apple Valley, CA 92307-1221
Mailing address
29055 Rocky Summit Dr
Menifee, CA 92587-7202
Phone (424) 567-2287
Other practice location 1
18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413
Phone (760) 991-3020
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Past | Accepting new patients | |
| Legacy Therapeutic Services, Inc. | Past | Accepting new patients | |
| Nufoundation Youth Development Mentors and Life Coach Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Gardena, CA
- NPI 1245539394
-
- Occupational Therapist
- Apple Valley, CA
- NPI 1942910724
-
- Behavior Analyst
- Litchfield Park, AZ
- NPI 1073167755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1972264745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29055 ROCKY SUMMIT DR",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925877202",
"telephone_number": "424-567-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071221",
"telephone_number": "760-646-8000"
}
],
"practiceLocations": [
{
"address_1": "18270 Siskiyou Rd Ste B",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923071413",
"country_code": "US",
"telephone_number": "760-991-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICO",
"first_name": "ANGELINA",
"middle_name": "LILY",
"credential": "BS, COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "6257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.