Active NPI
Susan Lloyd Roberts, O.T.R./L.
- Pediatric Occupational Therapist
- Flushing, NY
National Provider Identifier
1043511637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3437
- 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, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3437 | NY | MD | Addiction (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
- Julie N. Rivera, JULIE RIVERA, MA-SLP
- RKD Medical PLLC
- Robert B. Rho, M.D., P.C. (Liberty Women's Health Care of Queens - NYC)
- Robert S. Lee Therapeutic Massage, P.C.
- Toni Ann Roberti, L.AC.
- Jennifer Robertson
- Nii Amon Robertson, M.D.
- Robinson Physical Therapy PC
- Rivka D Robinson, PT, DPT
- Lee Anne Robison, MA
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.