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

Individual provider Occupational Therapy Assistant · NPI 1396914263

Stacey Roberts, OTA is an Occupational Therapy Assistant in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

17923 144th Ave
Jamaica, NY 11434-5923
Phone: (646) 234-4929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 006987 (NY)

Record details

NPI number1396914263
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedFebruary 26, 2008
Last updated in NPPESFebruary 26, 2008

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