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

Odessa E Roque, OTR/L

Individual provider Occupational Therapist · NPI 1659080471

Odessa E Roque, OTR/L is an Occupational Therapist in Private Practice in Center Moriches, New York. Qualified in 2022, 4 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

15 Frowein Rd
Center Moriches, NY 11934-1608
Phone: (631) 617-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18 E Montauk Hwy, Hampton Bays, NY 11946-1817 — (631) 418-8283

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 027302 (NY)

Record details

NPI number1659080471
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Center Moriches