Roberta King, ROBERTA KING OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT6363 Issued in FL

Practice address

2245 Plantation Center Dr
Suite 57
Fleming Island, FL 32003-3352

Phone

(190) 437-4141

NPI assigned

Apr 23, 2012

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1841558293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GLEN LAUREL DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593288",
            "telephone_number": "321-693-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 PLANTATION CENTER DR",
            "address_2": "SUITE 57",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033352",
            "telephone_number": "190-437-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "ROBERTA KING OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara B Ketchum, LMHC LIC MENTAL HEAL
• Richard William Keys, PT
• Lilit Khaikin
• Alexandra Kieweg, NP
• Emily Lorraine King, MS, CCC-SLP
• Caroline R Kiser, D.P.M.
• Kristen D Kite-Cataldo
• Spencer Chapman Knox, M.D.
• Ann W Korahais, LMHC
• Robert James Kozak, BCABA

• Occupational Therapist in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.