Roni Janine Paulsson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11815 Issued in FL

Practice address

815 Briar Creek Blvd NE
Palm Bay, FL 32905-5423

Phone

(321) 956-3330

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1871869354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 TRINIDAD DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373443",
            "telephone_number": "321-474-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BRIAR CREEK BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055423",
            "telephone_number": "321-956-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSSON",
        "first_name": "RONI",
        "middle_name": "JANINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ailena Sowden Patterson
• Richard Scott Patzlaff, PTA
• Paul J Befanis MD PA (Brevard Eye Center)
• Paul J Befanis MD PA (Brevard Eye Center)
• Katia L Paul, COTA
• Karen Paz, P.A.
• PBS
• PD & Sr, L.L.C. (A & B Blessed Assisted Living Facility)
• Jefferson Michael Pecora, DMD
• Sharon F. Pell, LCSW

• Occupational Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.