Active NPI
Osa Lee Robertson
- Occupational Therapy Assistant
- Altoona, FL
National Provider Identifier
1962290445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 05119
- Practice address
- 200 Clubhouse Vista Rd
Altoona, FL 32702-9639 - Phone
- (800) 343-1588
- NPI assigned
- Apr 25, 2025
- 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 Therapy Assistant | 224Z00000X | 05119 | FL | Primary |
Addresses
Primary practice location
200 Clubhouse Vista Rd
Altoona, FL 32702-9639
Mailing address
1920 Marion County Rd Lot 116
Weirsdale, FL 32195-5107
Phone (484) 764-6521
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 |
|---|---|---|---|
| 05119 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1962290445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 MARION COUNTY RD LOT 116",
"city": "WEIRSDALE",
"state": "FL",
"postal_code": "321955107",
"telephone_number": "484-764-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLUBHOUSE VISTA RD",
"city": "ALTOONA",
"state": "FL",
"postal_code": "327029639",
"telephone_number": "800-343-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "OSA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "05119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.