Active NPI
Todd Robert Roen
- Occupational Therapy Assistant
- Copperas Cove, TX
National Provider Identifier
1932376860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 208862
- Practice address
- 2126 E Highway 190
Suite 1
Copperas Cove, TX 76522-2589 - Phone
- (254) 217-0284
- Fax
- (254) 393-0602
- NPI assigned
- May 9, 2008
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 208862 | TX | Primary |
Addresses
Primary practice location
2126 E Highway 190
Suite 1
Copperas Cove, TX 76522-2589
Mailing address
PO Box 3166
Harker Heights, TX 76548-0556
Phone (254) 217-0284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208862 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1932376860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3166",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765480556",
"telephone_number": "254-217-0284",
"fax_number": "254-217-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 E HIGHWAY 190",
"address_2": "SUITE 1",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222589",
"telephone_number": "254-217-0284",
"fax_number": "254-393-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEN",
"first_name": "TODD",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "208862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.