Zakiyyah D Roberson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025815 Issued in NY

Practice address

139 Northland Ave
Buffalo, NY 14208-1102

Phone

(716) 316-9085

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Zakiyyah Mickens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1215315262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 EDEN WOODS CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102895",
            "telephone_number": "716-316-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NORTHLAND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081102",
            "telephone_number": "716-316-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "ZAKIYYAH",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "0829796",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21641",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0829796",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAKIYYAH",
            "last_name": "MICKENS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Robbins
• Mackenzie Robbins
• Renee Robel, NP
• Kandy Roberson
• Mary Colleen Roberson
• Robert a. Hewson D.P.M.
• Robert J. Lacarrubba, DDS, PC
• Robert Lee MD P.C.
• Robert W. Radau, Optician, P.C.
• Andrea Roberts

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.