Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justyn Roark, OTR

Individual provider Occupational Therapist · NPI 1780231514

Justyn Roark, OTR is an Occupational Therapist in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

213 Ross Moore Ave
Charlotte, NC 28205-7975
Phone: (704) 345-2337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 213 Ross Moore Ave, Charlotte, NC 28205-7975 — (704) 345-2337

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 12542 (NC)

Record details

NPI number1780231514
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedAugust 26, 2019
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021

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