Active NPI
Quadeira Renee Smith Robinson, COTA/L
- Occupational Therapy Assistant
- Rockwell, NC
National Provider Identifier
1043044928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15236
- Practice address
- 130 Green Haven Dr
Rockwell, NC 28138-8924 - Phone
- (980) 234-1066
- NPI assigned
- Aug 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 15236 | NC | Primary |
Addresses
Primary practice location
130 Green Haven Dr
Rockwell, NC 28138-8924
Mailing address
130 Green Haven Dr
Rockwell, NC 28138-8924
Phone (980) 234-1066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15236 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1043044928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GREEN HAVEN DR",
"city": "ROCKWELL",
"state": "NC",
"postal_code": "281388924",
"telephone_number": "980-234-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GREEN HAVEN DR",
"city": "ROCKWELL",
"state": "NC",
"postal_code": "281388924",
"telephone_number": "980-234-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "QUADEIRA",
"middle_name": "RENEE SMITH",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-31",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "15236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwell, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.