Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angie Lissette Bolanos-Escalona, OTR

Individual provider Occupational Therapist · NPI 1295057776

Angie Lissette Bolanos-Escalona, OTR is an Occupational Therapist in Private Practice in Hialeah, Florida. Qualified in 1999, 27 years ago. Practices with Bolanos Associates, LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2010
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1401 E 4th Ave Ste 204
Hialeah, FL 33010-3504
Phone: (786) 348-6361
Fax: (866) 665-8671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 9463 (FL)

Record details

NPI number1295057776
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedFebruary 24, 2010
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Bolanos Associates, Llc. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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