Individual provider Active NPI

Shawna Kathleen Roche, OTR/L

  • Gerontology Occupational Therapist
  • Cuyahoga Falls, OH
National Provider Identifier
1699199539
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
003571 Issued in OH
Practice address
2251 Front St Ste 202
Cuyahoga Falls, OH 44221-2578
Phone
(330) 929-5512
Fax
(330) 929-7732
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 003571 OH Primary

Addresses

Primary practice location

2251 Front St Ste 202
Cuyahoga Falls, OH 44221-2578

Mailing address

2251 Front St Ste 202
Cuyahoga Falls, OH 44221-2578
Phone (330) 929-5512

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

LicenseStateTypeSpecialty
003571OHMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1699199539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 FRONT ST STE 202",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212578",
            "telephone_number": "330-929-5512",
            "fax_number": "330-929-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 FRONT ST STE 202",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212578",
            "telephone_number": "330-929-5512",
            "fax_number": "330-929-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "SHAWNA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OH",
            "license": "003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.