Individual provider Active NPI

Lauren Rita Deangelo, OTR

  • Occupational Therapist
  • Newark, DE
National Provider Identifier
1972381275
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0012562 Issued in DE
Practice address
425 New London Rd
Newark, DE 19711-7009
Phone
(302) 453-1588
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC019435 PA
Occupational Therapist 225X00000X U1-0012562 DE Primary

Addresses

Primary practice location

425 New London Rd
Newark, DE 19711-7009

Mailing address

425 New London Rd
Newark, DE 19711-7009
Phone (302) 453-1588

Other practice location 1

511 N Broad St
Philadelphia, PA 19123-3230
Phone (215) 923-6031

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
U1-0012562DEMDOccupational Therapist
OC019435PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hen Physical Therapy, Inc. CurrentSince Dec 17, 2023 Accepting new patients
Blue Hen Physical Therapy, Inc. PastSince Dec 17, 2023 Accepting new patients

Locations

425 New London Rd
Newark, DE 19711
Phone (302) 453-1588

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1972381275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NEW LONDON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117009",
            "telephone_number": "302-453-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NEW LONDON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117009",
            "telephone_number": "302-453-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233230",
            "country_code": "US",
            "telephone_number": "215-923-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "LAUREN",
        "middle_name": "RITA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019435",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0012562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.