ANGELA MARIE DAVAULT (OT) – Physical Therapist, NPI 1003832379

ANGELA MARIE DAVAULT (OT) is a healthcare provider. based in Bradley, Illinois. specializing in Physical Therapist. They hold the professional credentials OT. The NPI Number for ANGELA MARIE DAVAULT (OT) is 1003832379

Main info

Female
Name
ANGELA MARIE DAVAULT (OT)
NPI
1003832379
Phone
(815) 928-8051
Address
400 S KENNEDY DR
Enumeration Date
13 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ANGELA MARIE DAVAULT (OT)

  • 400, Kennedy Drive, Bradley, Kankakee County, Illinois, 60915, United States

    BRADLEY, IL 609152682

    Phone: (815) 928-8051

    Type: Location

  • 1, Janeese Court, Manteno, Kankakee County, Illinois, 60950, United States

    MANTENO, IL 609501630

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60915)

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Reviews

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Frequently asked questions

How is ANGELA MARIE DAVAULT (OT) identified in CMS data?
CMS-hosted NPPES data lists ANGELA MARIE DAVAULT (OT) with NPI 1003832379.
Does the file indicate ANGELA MARIE DAVAULT (OT) is practicing under active NPI?
Directory data currently reports ANGELA MARIE DAVAULT (OT) as active.
What is ANGELA MARIE DAVAULT (OT)'s specialty?
The listing groups ANGELA MARIE DAVAULT (OT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for ANGELA MARIE DAVAULT (OT)?
ANGELA MARIE DAVAULT (OT)'s geographic hint is Bradley, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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