Active NPI
Leslie Roman, MSOT
- Occupational Therapist
- Barceloneta, PR
National Provider Identifier
1518374065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1038
- Practice address
- 66 Urb Catalina
Barceloneta, PR 00617 - Phone
- (407) 587-5651
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1038 | PR | Primary |
| Occupational Therapy Assistant | 224Z00000X | OTA 11001 | FL |
Addresses
Primary practice location
66 Urb Catalina
Barceloneta, PR 00617
Mailing address
4093 Longworth Loop
Kissimmee, FL 34744-9173
Phone (407) 587-5651
Other practice location 1
4093 Longworth Loop
Kissimmee, FL 34744-9173
Phone (407) 587-5651
Other practice location 2
Urb. Flaboyan D-15 Calle Mckinley
Ed Oharriz suite #4
Manati, PR 00674
Phone (407) 587-5651
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 |
|---|---|---|---|
| OTA 11001 | FL | MD | Occupational Therapy Assistant |
| 1038 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1518374065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4093 LONGWORTH LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449173",
"telephone_number": "407-587-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 URB CATALINA",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "00617",
"telephone_number": "407-587-5651"
}
],
"practiceLocations": [
{
"address_1": "4093 Longworth Loop",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347449173",
"country_code": "US",
"telephone_number": "407-587-5651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Urb. Flaboyan D-15 Calle Mckinley",
"address_2": "Ed Oharriz suite #4",
"address_purpose": "LOCATION",
"city": "Manati",
"state": "PR",
"postal_code": "00674",
"country_code": "US",
"telephone_number": "407-587-5651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN",
"first_name": "LESLIE",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2022-12-22",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1038",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 11001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.