MISS COREY SUMMERLIN ROAN OTR/L
NPI 1730453747
Occupational Therapist - Pediatrics in San Diego, CA

NPI Status: Active since March 08, 2012

Contact Information

5057 FRINK AVE
SAN DIEGO, CA
ZIP 92117
Phone: (757) 288-9512

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  • Individual
  • Female
  • Occupational Therapist
  • Pediatrics

About COREY ROAN

This page provides the complete NPI Profile along with additional information for Corey Roan, a provider established in San Diego, California with a medical specialization in Occupational Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1730453747 assigned on March 2012. The practitioner's primary taxonomy code is 225XP0200X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1730453747
Provider Name
MISS COREY SUMMERLIN ROAN OTR/L
Gender
Female
Entity Type
Individual
Location Address
5057 FRINK AVE SAN DIEGO, CA 92117
Location Phone
(757) 288-9512
Mailing Address
5057 FRINK AVE SAN DIEGO, CA 92117
Mailing Phone
(757) 288-9512
Is Sole Proprietor?
No
Enumeration Date
03-08-2012
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 4142 Bonney Rd
    Virginia Beach, VA 23452
    (757) 340-0620

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist Pediatrics

Taxonomy Code
225XP0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Physical Rehabilitation

0119005572 (VA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0119005572OTHER (01)VALISCENSE NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730453747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276085678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 8 + 5 + 6 + 7 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1730453747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821515305MILESTONE PEDIATRIC THERAPY, PC.
Organization
Home Health5057 FRINK AVE
SAN DIEGO, CA 92117
(757) 288-9512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730453747, enumerated in the NPI registry as an "individual" on March 08, 2012

The provider is located at 5057 Frink Ave San Diego, Ca 92117 and the phone number is (757) 288-9512

The provider's speciality is Occupational Therapist with taxonomy code 225XP0200X with a focus in Pediatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 08, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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