Active NPI
Maria Janel Lee Roth, OTR
- Occupational Therapist
- Stuart, FL
National Provider Identifier
1326379991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 5362
- Practice address
- 6011 SE Tower Dr
Stuart, FL 34997-7615 - Phone
- (772) 286-7895
- Fax
- (772) 286-7894
- NPI assigned
- Jan 21, 2010
- Last updated
- Jan 21, 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 | OT 5362 | FL | Primary |
Addresses
Primary practice location
6011 SE Tower Dr
Stuart, FL 34997-7615
Mailing address
6011 SE Tower Dr
Stuart, FL 34997-7615
Phone (772) 286-7895
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 |
|---|---|---|---|
| OT 5362 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1326379991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 SE TOWER DR",
"city": "STUART",
"state": "FL",
"postal_code": "349977615",
"telephone_number": "772-286-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 SE TOWER DR",
"city": "STUART",
"state": "FL",
"postal_code": "349977615",
"telephone_number": "772-286-7895",
"fax_number": "772-286-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "MARIA JANEL",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 5362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.