Individual provider Active NPI

Tori Lea Roberts, OTR/L

  • Occupational Therapist
  • Hampstead, NC
National Provider Identifier
1831903962
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17477 Issued in NC
Practice address
18676 US Highway 17
Hampstead, NC 28443-4049
Phone
(910) 821-1700
Fax
(910) 319-9105
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17477 NC Primary

Addresses

Primary practice location

18676 US Highway 17
Hampstead, NC 28443-4049

Mailing address

4140 Hearthside Dr Apt 204
Wilmington, NC 28412-8390
Phone (704) 253-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304001168 NC Practitioner - Occupational Therapist in Private Practice 8224559588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17477NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raise the Bar Therapy Services Occupational Therapist CurrentSince Feb 14, 2025 Accepting new patients

Locations

18676 US Highway 17
Hampstead, NC 28443
Phone (910) 270-4156

18676 US Highway 17
Ste 10
Hampstead, NC 28443
Phone (910) 821-1700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1831903962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 HEARTHSIDE DR APT 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128390",
            "telephone_number": "704-253-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 US HIGHWAY 17",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284434049",
            "telephone_number": "910-821-1700",
            "fax_number": "910-319-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TORI",
        "middle_name": "LEA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.