IndividualActive
Angela Angevine, COTA
NPI 1073276739 · Occupational Therapy Assistant · Fishkill, NY
Provider details
- NPI number
- 1073276739
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 007977-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Summit Ct
Fishkill, NY 12524-1334
Phone: (845) 896-1500
Street-level locationGet directions
Mailing address
480 Hulsetown Rd
Campbell Hall, NY 10916-3202
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-20
- Certified
- 2021-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.