Odessa E Roque, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027302 Issued in NY

Practice address

15 Frowein Rd
Center Moriches, NY 11934-1608

Phone

(631) 617-6265

NPI assigned

Nov 21, 2022

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

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Rockville Centre, NY
  • NPI 1205296902
  Medicare reassignment Care Compare group NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • New York, NY
  • NPI 1083164735
  NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680
  NPD
• Sherrie Glasser, Physical Therapist. PC

  • Physical Therapist
  • Garden City, NY
  • NPI 1912099540
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1659080471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 FRENCH AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117032105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FROWEIN RD",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341608",
            "telephone_number": "631-617-6265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Hampton Bays",
            "state": "NY",
            "postal_code": "119461817",
            "country_code": "US",
            "telephone_number": "631-418-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "ODESSA",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Alberto Reiley, MD
• Lauren Ashley Richard Holt, LCSW
• Petros-Emmanouil Rizkalla
• John J Roche, DMD
• Natalie L Romero, RN
• Marina Roux, LCSW-R
• Leila Ann Saguto, PT
• Margaret Abiodun Salisu-Horadin, LMSW
• Jonah Brett Samuelowitz, LMSW/MSW
• Constance San Andres-Ortega, RN

• Occupational Therapist in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.