Active NPI
Allison Roberts, OTR/L
- Occupational Therapist
- Lewiston, ID
National Provider Identifier
1740531904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60286464
- Practice address
- 1250 Idaho St
Lewiston, ID 83501-1965 - Phone
- (208) 799-5219
- NPI assigned
- Sep 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60286464 | WA | Primary |
| Occupational Therapist | 225X00000X | OT-1048 | ID |
Addresses
Primary practice location
1250 Idaho St
Lewiston, ID 83501-1965
Mailing address
1250 Idaho St
PO Box 719
Lewiston, ID 83501-1965
Phone (208) 799-5219
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 |
|---|---|---|---|
| OT-1048 | ID | MD | Occupational Therapist |
| 60286464 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1740531904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 IDAHO ST",
"address_2": "PO BOX 719",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011965",
"telephone_number": "208-799-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 IDAHO ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011965",
"telephone_number": "208-799-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ALLISON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60286464",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-1048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.