Active NPI
Robyn Colley Otr/L LLC
- Pediatric Occupational Therapist
- Longwood, FL
National Provider Identifier
1235518028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT8386
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA12727 | FL | |
| Occupational Therapist | 225X00000X | OT 15248 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | OT8386 | FL | Primary |
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400952 | Other | FL | AVAILITY CLEARINGHOUSE |
Other names 1
- Whole Child Integrative Center
National Provider Directory
National Provider Directory- Tax ID family
- Colley OT Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- Longwood, FL
- NPI 1588002190
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.
-
- Occupational Therapist
- Apopka, FL
- NPI 1396130217
Occupational Therapy Assistant
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.