Active NPI
Madeline Roberts, OTR/L
- Occupational Therapist
- Merrick, NY
National Provider Identifier
1134401680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012937-1
- Practice address
- 1757 Seaman Dr
Merrick, NY 11566-2819 - Phone
- (516) 867-6255
- NPI assigned
- Sep 11, 2011
- 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 Therapist | 225X00000X | 012937-1 | NY | Primary |
Addresses
Primary practice location
1757 Seaman Dr
Merrick, NY 11566-2819
Mailing address
1757 Seaman Dr
Merrick, NY 11566-2819
Phone (516) 867-6255
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 |
|---|---|---|---|
| 012937-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1134401680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 SEAMAN DR",
"city": "MERRICK",
"state": "NY",
"postal_code": "115662819",
"telephone_number": "516-867-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 SEAMAN DR",
"city": "MERRICK",
"state": "NY",
"postal_code": "115662819",
"telephone_number": "516-867-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MADELINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-11",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012937-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.