Roberta Shakun Devery, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00247400 Issued in NJ

Practice address

601 Ewing St
Princeton, NJ 08540-2757

Phone

(609) 731-9805

NPI assigned

Mar 11, 2018

Last updated

Mar 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Fun in Motion, LLC

  • Occupational Therapist
  • Princeton Junction, NJ
  • NPI 1114086915
  NPD Authorized official

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520726400000",
    "number": "1174026694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WILSON WAY N",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502947",
            "telephone_number": "609-731-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-731-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERY",
        "first_name": "ROBERTA",
        "middle_name": "SHAKUN",
        "name_prefix": "Ms.",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-11",
        "last_updated": "2018-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00247400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urvi Desai
• Julia T. Desanctis, M.D.
• Anna Desimone, LPC
• Annegret Dettwiler, P.T., ED.D.
• Paul Jan Deutsch, M.D.
• Maria I Deveza-Siochi, PT
• Dialysis Clinic Inc.
• Stephanie Dicandia, MA, LPC, NCC
• Andrea Louise Didisheim, PTA
• Digestive Disease Center, PA

• Occupational Therapist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2018; 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.