Sharon Roberts, COTA-L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000443 Issued in CT

Practice address

97 Preston Rd
Griswold, CT 06351-2516

Phone

(860) 376-4438

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete in-Home Therapy LLC

  • Multi-Specialty Clinic/Center
  • Ashford, CT
  • NPI 1750635967
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831393693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MANSFIELD RD",
            "city": "ASHFORD",
            "state": "CT",
            "postal_code": "062781416",
            "telephone_number": "860-208-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PRESTON RD",
            "city": "GRISWOLD",
            "state": "CT",
            "postal_code": "063512516",
            "telephone_number": "860-376-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHARON",
        "credential": "COTA-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "000443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Millovitsch, ATC, LAT
• Suzanne Montesano-McLean, MS, CRC,LP
• Tiffany Marie Morton, LADC,LPC
• Oak & Arrow Behavioral Services, LLC
• James David Plante, LCSW
• Tycho Sajkowicz
• Katina Simmons, OD
• Leslie Anne Stasko, LPC-A
• TC Healthcare I, LLC (Griswold Health Care Facility)
• Town of Griswold Board of Education

• Occupational Therapy Assistant in Griswold, CT
• Providers in Griswold, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.