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

Active since March 08, 2012
5057 FRINK AVE, SAN DIEGO, CA 92117(757) 288-9512 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 26, 2017 (3 updates tracked since 2017).

About Miss Corey Summerlin Roan Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS COREY SUMMERLIN ROAN OTR/L (NPI 1730453747) is an individual pediatrics provider in San Diego, California and active in the NPI registry since March 2012. She maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1730453747
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameMISS COREY SUMMERLIN ROANCredential: OTR/L
Location Address5057 FRINK AVESan Diego, CA 92117-1212
Mailing Address5057 Frink AveSan Diego, CA 92117-1212 · (757) 288-9512
Sole ProprietorNo
Enumeration DateMarch 8, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1730453747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
Definition
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.
Also ListedOccupational Therapist · Physical RehabilitationTaxonomy 225XP0019X · License 0119005572 (VA)
5057 FRINK AVE, San Diego, CA 92117

Secondary Practice Location 1

Location 14142 Bonney RdVirginia Beach, VA 23452-1711 · Phone (757) 340-0620

Other Identifiers 1

Other0119005572VA · Liscense Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
5057 FRINK AVE
SAN DIEGO, CA 92117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Roan's NPI number?

The NPI number for Corey Roan is 1730453747. It was assigned to this individual provider in the NPPES registry on March 8, 2012.

Where is Corey Roan located?

Corey Roan practices at 5057 Frink Ave, San Diego, CA 92117. The listed phone number is (757) 288-9512.

What is Corey Roan's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Corey Roan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.