Christian Taylor Stallings, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119008255 Issued in VA

Practice address

10124 W Broad St Ste P
Glen Allen, VA 23060-3330

Phone

(804) 273-6656

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christian Taylor Difruscio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vcu Health Children'S Services at Brook Road

  • Long Term Care Hospital
  • Richmond, VA
  • NPI 1003953746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1033703327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7364 RIVER PINE DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231115243",
            "telephone_number": "804-517-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 W BROAD ST STE P",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603330",
            "telephone_number": "804-273-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "CHRISTIAN",
        "middle_name": "TAYLOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119008255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "DIFRUSCIO",
            "middle_name": "TAYLOR",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Rebecca Spinner, LCSW
• Erica S. Spragans, LPC
• Jimmie L Spragans, LPC
• Springfield Medical Center, P.C.
• Theodora Anna Squire
• Emma Legier Stanton
• Starfish Wellness and Therapeutic
• Starting Point
• Thomas Joseph Stein, R.PH.
• Stephen Beecroft Specialty Partners of Virginia PLLC

• Pediatric Occupational Therapist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.