Active NPI
Aileen M Roberts, OTR/CHT
- Hand Occupational Therapist
- Pine City, MN
National Provider Identifier
1649365628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 103492
- Practice address
- 1425 Main St N
Pine City, MN 55063-6026 - Phone
- (320) 629-6310
- Fax
- (320) 629-4731
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 103492 | MN | Primary |
Addresses
Primary practice location
1425 Main St N
Pine City, MN 55063-6026
Mailing address
1425 Main St N
Pine City, MN 55063-6026
Phone (320) 629-6310
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103492 | MN | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1649365628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MAIN ST N",
"city": "PINE CITY",
"state": "MN",
"postal_code": "550636026",
"telephone_number": "320-629-6310",
"fax_number": "320-629-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MAIN ST N",
"city": "PINE CITY",
"state": "MN",
"postal_code": "550636026",
"telephone_number": "320-629-6310",
"fax_number": "320-629-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "AILEEN",
"middle_name": "M",
"credential": "OTR/CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MN",
"license": "103492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.