Individual provider Active NPI

Selby Miles Robison, MOT, OTR/L

  • Occupational Therapist
  • Waipahu, HI
National Provider Identifier
1043064645
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2485 Issued in HI
Practice address
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Phone
(808) 260-9056
Fax
(808) 444-3353
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-2485 HI Primary

Addresses

Primary practice location

94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485

Mailing address

94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Phone (808) 260-9056

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

LicenseStateTypeSpecialty
OT-2485HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy LLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

1425 Keolu Dr
Kailua, HI 96734
Phone (808) 260-9056

94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
Phone (808) 260-9056

94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1043064645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1181 KA UKA BLVD STE C",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974485",
            "telephone_number": "808-260-9056",
            "fax_number": "808-444-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1181 KA UKA BLVD STE C",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974485",
            "telephone_number": "808-260-9056",
            "fax_number": "808-444-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "SELBY",
        "middle_name": "MILES",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.