Active NPI
Aundrea Roberts, OTR/L
- Occupational Therapist
- Foster City, CA
National Provider Identifier
1629555933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14928
- Practice address
- 730 Bounty Dr
Foster City, CA 94404-4105 - Phone
- (909) 614-3983
- NPI assigned
- Jul 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14928 | CA | Primary |
Addresses
Primary practice location
730 Bounty Dr
Foster City, CA 94404-4105
Mailing address
PO Box 4253
Foster City, CA 94404-0253
Phone (909) 614-3983
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 |
|---|---|---|---|
| 14928 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1629555933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4253",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944040253",
"telephone_number": "909-614-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 BOUNTY DR",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944044105",
"telephone_number": "909-614-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "AUNDREA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foster City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.