Active NPI
Taimi Santisteban Sosa, OT
- Pediatric Occupational Therapist
- Roanoke, VA
National Provider Identifier
1790064756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0119009094
- Practice address
- 3342 Circle Brook Dr Apt H
Roanoke, VA 24018-7250 - Phone
- (786) 219-5024
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 18289 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | 0119009094 | VA | Primary |
Addresses
Primary practice location
3342 Circle Brook Dr Apt H
Roanoke, VA 24018-7250
Mailing address
3342 Circle Brook Dr Apt H
Roanoke, VA 24018-7250
Phone (786) 219-5024
Other names 1
- Ms. Taimi Borges Aleman
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 18289 | FL | MD | Pediatric Occupational Therapist |
| 0119009094 | VA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1790064756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3342 CIRCLE BROOK DR APT H",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240187250",
"telephone_number": "786-219-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3342 CIRCLE BROOK DR APT H",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240187250",
"telephone_number": "786-219-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTISTEBAN SOSA",
"first_name": "TAIMI",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 18289",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "VA",
"license": "0119009094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAIMI",
"last_name": "BORGES ALEMAN",
"prefix": "MS.",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.