Individual provider Active NPI

Chelsea Ann Liller, MS, OTR/L

  • Gerontology Occupational Therapist
  • Roanoke, VA
National Provider Identifier
1124324389
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
0119005509 Issued in VA
Practice address
1127 Persinger Rd SW
Roanoke, VA 24015-3829
Phone
(540) 343-1691
Fax
(540) 343-1696
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 0119005509 VA Primary

Addresses

Primary practice location

1127 Persinger Rd SW
Roanoke, VA 24015-3829

Mailing address

405 Chateau Royale CT # FF5
Morgantown, WV 26505-1858
Phone (540) 314-0647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131002494 VA Practitioner - Occupational Therapist in Private Practice 4183077621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4903 Starkey Rd
Suite 100B
Roanoke, VA 24018-8525
Phone (540) 929-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119005509VAMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Pelvic Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

4903 Starkey Rd
Ste 100B
Roanoke, VA 24018
Phone (540) 929-1339

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1124324389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CHATEAU ROYALE CT # FF5",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051858",
            "telephone_number": "540-314-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 PERSINGER RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153829",
            "telephone_number": "540-343-1691",
            "fax_number": "540-343-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLER",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "VA",
            "license": "0119005509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.