Individual provider Active NPI

Angela M Oravec, COTA/L

  • Occupational Therapy Assistant
  • Jacksonville, FL
National Provider Identifier
1982269445
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA17132 Issued in FL
Practice address
8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836
Phone
(904) 642-7300
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA17132 FL Primary

Addresses

Primary practice location

8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836

Mailing address

13703 Richmond Park Dr N Apt 2307
Jacksonville, FL 32224-4298
Phone (941) 504-2468

Other practice location 1

7723 Jasper Ave
Jacksonville, FL 32211-7719
Phone (904) 725-8044

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hr@selectrehab.com Direct

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
OTA17132FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1982269445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13703 RICHMOND PARK DR N APT 2307",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244298",
            "telephone_number": "941-504-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 A C SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560836",
            "telephone_number": "904-642-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7723 Jasper Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322117719",
            "country_code": "US",
            "telephone_number": "904-725-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORAVEC",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hr@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "Email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 Compass Rd",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600268001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.