Active NPI
Stephanie Lynn Roberts, MOT, OTR/L
- Occupational Therapist
- Ligonier, PA
National Provider Identifier
1841545274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012353
- Practice address
- 135 Kalassay Dr
Ligonier, PA 15658-8726 - Phone
- (724) 238-2613
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC012353 | PA | Primary |
Addresses
Primary practice location
135 Kalassay Dr
Ligonier, PA 15658-8726
Mailing address
135 Kalassay Dr
Ligonier, PA 15658-8726
Phone (724) 289-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841545274 | Other | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC012353 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1841545274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 KALASSAY DR",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156588726",
"telephone_number": "724-289-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 KALASSAY DR",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156588726",
"telephone_number": "724-238-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1841545274",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ligonier, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.