Individual provider Active NPI

Susan Lloyd Roberts, O.T.R./L.

  • Pediatric Occupational Therapist
  • Flushing, NY
National Provider Identifier
1043511637
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3437 Issued in NY
Practice address
3527 Utopia Pkwy
Flushing, NY 11358-2309
Phone
(718) 517-0807
Fax
(718) 886-0291
NPI assigned
Nov 12, 2010
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Occupational Therapist 225XH1300X 3437 NY
Pediatric Occupational Therapist 225XP0200X 3437 NY Primary
Driving and Community Mobility Occupational Therapist 225XR0403X 3437 NY
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 3437 NY

Addresses

Primary practice location

3527 Utopia Pkwy
Flushing, NY 11358-2309

Mailing address

3527 Utopia Pkwy
Flushing, NY 11358-2309
Phone (718) 517-0807

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
3437NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1043511637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 UTOPIA PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582309",
            "telephone_number": "718-517-0807",
            "fax_number": "718-886-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 UTOPIA PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582309",
            "telephone_number": "718-517-0807",
            "fax_number": "718-886-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SUSAN",
        "middle_name": "LLOYD",
        "credential": "O.T.R./L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "NY",
            "license": "3437",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "3437",
            "primary": true
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "NY",
            "license": "3437",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NY",
            "license": "3437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.