Individual provider Active NPI

Taimi Santisteban Sosa, OT

  • Pediatric Occupational Therapist
  • Roanoke, VA
National Provider Identifier
1790064756
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119009094 Issued in VA
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

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
OT 18289FLMDPediatric Occupational Therapist
0119009094VAMDPediatric 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.

Verify at the official NPI Registry.