Organization Active NPI

Robyn Colley Otr/L LLC

  • Pediatric Occupational Therapist
  • Longwood, FL
National Provider Identifier
1235518028
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT8386 Issued in FL
Legal business name
ROBYN COLLEY OTR/L LLC
Practice address
2989 W State Road 434
Suite 200
Longwood, FL 32779-4463
Phone
(407) 636-6924
Fax
(407) 982-3357
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mrs. Robyn L Colley, OTR/L
Title
Occupational Therapist/Owner
Phone
(407) 636-6924

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X OTA12727 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 15248 FL
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT8386 FL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA5268 FL

Addresses

Primary practice location

2989 W State Road 434
Suite 200
Longwood, FL 32779-4463

Mailing address

2989 W State Road 434
Suite 200
Longwood, FL 32779-4463
Phone (407) 636-6924

Other identifiers 1

IdentifierTypeStateIssuer
400952OtherFLAVAILITY CLEARINGHOUSE

Other names 1

  • Whole Child Integrative Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colley OT Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2989 W State Road 434
Ste 200
Longwood, FL 32779
Phone (407) 636-6924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1235518028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2989 W STATE ROAD 434",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794463",
            "telephone_number": "407-636-6924",
            "fax_number": "407-982-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 W STATE ROAD 434",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794463",
            "telephone_number": "407-636-6924",
            "fax_number": "407-982-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN COLLEY OTR/L LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "407-636-6924",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12727",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 15248",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT8386",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY CLEARINGHOUSE",
            "identifier": "400952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Child Integrative Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.