Briana Roque, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21898 Issued in CA

Practice address

957 Faulkner Rd Ste 105
Santa Paula, CA 93060-9129

Phone

(805) 765-4773

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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.

• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1871324806

  Occupational Therapist

  NPD
• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1760098990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29154 MISSION TRAIL LN",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541526",
            "telephone_number": "661-476-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 FAULKNER RD STE 105",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609129",
            "telephone_number": "805-765-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Statham Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930333901",
            "country_code": "US",
            "telephone_number": "805-765-4773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3418 Loma Vista Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033016",
            "country_code": "US",
            "telephone_number": "805-765-4773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "BRIANA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21898",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "OT-2604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Robles
• Zuleima Rodriguez Sanchez
• Angelica Rodriguez
• Luz Angelica Rodriguez
• Nicolas R Rodriguez, O.D.
• Bangalore S Rudraprakasha
• Antonio Ruelas, M.D.
• Diana Rumbo
• Jennelle Marie-Langrill Saavedra
• Angelo S. Sadeghpour, MD, PHD

• Occupational Therapist in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.