Active NPI
Sandra Lee Roach, COTA
- Occupational Therapy Assistant
- Indianapolis, IN
National Provider Identifier
1063600963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32000132A
- Practice address
- 1251 W 96TH St # N
Indianapolis, IN 46260-1181 - Phone
- (317) 407-5361
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 32000132A | IN | Primary |
Addresses
Primary practice location
1251 W 96TH St # N
Indianapolis, IN 46260-1181
Mailing address
314 W 107TH St
Carmel, IN 46032-9587
Phone (317) 571-9296
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 |
|---|---|---|---|
| 32000132A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1063600963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W 107TH ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329587",
"telephone_number": "317-571-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 W 96TH ST # N",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601181",
"telephone_number": "317-407-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "SANDRA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32000132A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.