Angel S Gibson, COTA/L is a 
Occupational Therapy Assistant based in Charleston, South Carolina. Angel S Gibson is licensed to practice in South Carolina (license number 5174) and her current practice location is 
1925 Essex Farms Dr, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at 
(843) 779-1685.
NPI number for Angel S Gibson is 1093409674 and her current mailing address is 1114 Flyway Rd, Summerville, South Carolina. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093409674.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Angel S Gibson | 
|---|
| Gender | Female | 
|---|
| Speciality | Occupational Therapy Assistant | 
|---|
| Location | 1925 Essex Farms Dr, Charleston, South Carolina | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1093409674
- Provider Enumeration Date: 06/06/2023
- Last Update Date: 10/19/2023
 
		 
		 
Medical Identifiers
		Medical identifiers for Angel S Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1093409674 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225X00000X | Occupational Therapist | 5174 (South Carolina) | Secondary | 
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary | 
| 224Z00000X | Occupational Therapy Assistant | 5174 (South Carolina) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angel S Gibson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Angel S Gibson, COTA/L 1114 Flyway Rd,
 Summerville, SC 29483-8021
 Ph: (803) 316-1227
 | Angel S Gibson, COTA/L 1925 Essex Farms Dr,
 Charleston, SC 29414-6696
 Ph: (843) 779-1685
 | 
		
		 
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