Angelo J Maisano, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7351 Issued in AZ

Practice address

4870 N Litchfield Road Suite #101
Litchfield Park, AZ 85340

Phone

(623) 935-6040

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wee Care Corporation

  • Speech-Language Pathologist
  • Litchfield Park, AZ
  • NPI 1891908588
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1992204614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 N. LITCHFIELD ROAD SUITE #101",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 N LITCHFIELD ROAD SUITE #101",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-935-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISANO",
        "first_name": "ANGELO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "7351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ma, DMD
• Ezabella Macias, RBT
• Rebecca Anabel Madrigal, LAC
• Daisy Magana, RBT
• John Michael Mai, M.D.
• Renata Majda, OD
• Nancy Michelle Maldonado Gonzalez, RBT
• Lucy N Mambo, PHARMD
• Scott T Manecke, PT, DPT
• Nelson J Mar, DDS

• Occupational Therapy Assistant in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Occupational Therapy Assistant in Arizona

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