Susan Marissa Roman, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2025019615 Issued in MO

Practice address

3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015

Phone

(636) 464-5439

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Behavioral Services, LLC

  • Behavior Analyst
  • West Plains, MO
  • NPI 1265998652
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1932637196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S CANE ST APT 11",
            "city": "ELLSINORE",
            "state": "MO",
            "postal_code": "639378237",
            "telephone_number": "928-897-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD STE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636402947",
            "country_code": "US",
            "telephone_number": "573-218-9337",
            "fax_number": "636-464-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "SUSAN",
        "middle_name": "MARISSA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2025019615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Robinson
• Rock Community Fire Protection District
• Sarah Rodden
• Yamiles Enid Rodriguez-Correa, PHD
• Ben Roig
• Amanda Roop
• Jacqueline Kaye Rosenthal, MPT
• Ilana Shaina Rosman, MD
• Shannon Ross, M.S., CCC-SLP
• Christine Rothrock, LPC

• Occupational Therapy Assistant in Arnold, MO
• Providers in Arnold, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.