Thalia Jane Robertson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000522 Issued in MO

Practice address

850 Country Manor LN
Creve Coeur, MO 63141-6651

Phone

(314) 434-5900

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1770175945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 N OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172026",
            "telephone_number": "636-733-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COUNTRY MANOR LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416651",
            "telephone_number": "314-434-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "THALIA",
        "middle_name": "JANE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "000522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a. Brinkman, M.D., LLC.
• Robert H Rifkin MD LLC
• Abby Roberts, DPT
• Jo Ann Roberts
• Kaitlyn Robertson, OTR/L
• Rodrick Robins
• Carolyn Stein Rochester
• Ashok K Rohra Jr., D.D.S., M.S.D.
• Lisa Fran Rolwes
• Hannah Romano, COTA/L

• Occupational Therapist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.