Suzette Faith Green-Roberts, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

61669151 Issued in WA

Practice address

111 Terry Ave N Apt 3101
Seattle, WA 98109-5986

Phone

(408) 334-5078

NPI assigned

Nov 26, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boyer Children's Clinic

  • Local Education Agency (LEA)
  • Seattle, WA
  • NPI 1760526388
  NPD (past)

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1356203467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TERRY AVE N APT 3101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095986",
            "telephone_number": "408-334-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TERRY AVE N APT 3101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095986",
            "telephone_number": "408-334-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-ROBERTS",
        "first_name": "SUZETTE",
        "middle_name": "FAITH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "61669151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Lake Family and Cosmetic Dentistry
• Green Lake Massage Health Center, LLC
• Green Point Acupuncture L.L.C.
• Robin A Green Whipple, MD
• Gianna I Green-Baskett
• Aaron J Green, M.D.
• Adam M Green, LMT
• Alexis Green
• Alizabeth Green
• Angel Green

• Pediatric Occupational Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.