Roseann Halback, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTT 12633 Issued in FL

Practice address

500 7TH Ave S
St Petersburg, FL 33701-4820

Phone

(727) 767-3843

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203811200000",
    "number": "1174667539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 4TH ST N",
            "address_2": "APT. 177",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161708",
            "telephone_number": "352-318-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 7TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014820",
            "telephone_number": "727-767-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBACK",
        "first_name": "ROSEANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OTT 12633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Evette Haggins
• Gregory V Hahn, MD
• Mina Haider, MD
• Allison Haig, PSY.D.
• Hal Bishop, LCSW, PA
• Michael R. Halbert, PHARM.D.
• Gregory A Hale, MD
• Ashley Christina Hall, MSN, ARNP, FNP-C
• Christopher Andrew Hall, CSFA
• David Earl Hall, M.D.

• Pediatric Occupational Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.