CARLY DIANE ROBERTS – Occupational Therapist, NPI 1003797408

CARLY DIANE ROBERTS is a healthcare provider. based in Robbinsville, New Jersey. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 46TR01260300 (NJ). The NPI Number for CARLY DIANE ROBERTS is 1003797408

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CARLY DIANE ROBERTS
NPI
1003797408
Phone
(877) 407-3422
Address
1075 WASHINGTON BLVD
Enumeration Date
11 September 2025
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8554288246
Graduation Year
2025 (1 year ago)
PAC ID
1658864871
Group Practice PAC ID
6305272659
Professional Enrollment ID
I20251204004370
Address ID
NJ077024203SH766XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,269 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for CARLY DIANE ROBERTS

  • 1075 WASHINGTON BLVD

    ROBBINSVILLE, NJ 086913119

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251204004370IOccupational Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08691)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305272659View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY
Qualified Speech Language PathologistMD
Qualified Speech Language PathologistNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeNJ
Qualified Speech Language PathologistNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What federal number belongs to CARLY DIANE ROBERTS?
The federal identifier for CARLY DIANE ROBERTS is NPI 1003797408.
Is CARLY DIANE ROBERTS's NPI currently valid?
The extract we use shows CARLY DIANE ROBERTS as active.
What kind of provider is CARLY DIANE ROBERTS?
The page reflects Occupational Therapist for CARLY DIANE ROBERTS. Clinical services aligned with this taxonomy classification.
What location shows for CARLY DIANE ROBERTS?
We surface Robbinsville, New Jersey for CARLY DIANE ROBERTS based on available NPPES addresses.
What if Robbinsville, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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