Juanita Roberts

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6143 Issued in NC

Practice address

2727 Shamrock Dr
2727 Shamrock Drive
Charlotte, NC 28205-2215

Phone

(704) 563-0886

Fax

(704) 563-9731

NPI assigned

Apr 5, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1376076588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 SHAMROCK DR",
            "address_2": "2727 SHAMROCK DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052215",
            "telephone_number": "704-563-0886",
            "fax_number": "704-563-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SHAMROCK DR",
            "address_2": "2727 SHAMROCK DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052215",
            "telephone_number": "704-563-0886",
            "fax_number": "704-563-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386764249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Roberts
• Jason S Roberts, CRNA
• Jeanmarie Roberts, PMHNP-BC
• Jesse Elijah Roberts, MA, ED.S, NCC, LPCA
• Jessica Roberts, DC
• Katherine Jemma Roberts, FNP
• Madia Roberts
• Mark Andrew Roberts, P.A.
• Marley S Roberts
• Morgan Camille Roberts

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.