Active NPI
Erin Solomon Roan, OTR/L
- Occupational Therapist
- Kent, WA
National Provider Identifier
1316257173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1007
- Practice address
- 10811 SE Kent Kangley Rd
Kent, WA 98030 - Phone
- (253) 854-5660
- Fax
- (253) 893-7413
- NPI assigned
- Oct 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1007 | ID | Primary |
Addresses
Primary practice location
10811 SE Kent Kangley Rd
Kent, WA 98030
Mailing address
10811 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 854-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1007 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1316257173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10811 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "98030",
"telephone_number": "253-854-5660",
"fax_number": "253-893-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "98030",
"telephone_number": "253-854-5660",
"fax_number": "253-893-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROAN",
"first_name": "ERIN",
"middle_name": "SOLOMON",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT1007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.