Active NPI
Deborah Iborg, ATC
- Student in an Organized Health Care Education/Training Program
- Saint Louis, MO
National Provider Identifier
1265407332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 00047
- Practice address
- 3400 Pershall Rd
Saint Louis, MO 63135-1408 - Phone
- (314) 513-4285
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 00047 | MO | Primary |
Addresses
Primary practice location
3400 Pershall Rd
Saint Louis, MO 63135-1408
Mailing address
14 Chandler CT
Saint Charles, MO 63303-5340
Phone (314) 513-4285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00047 | MO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265407332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CHANDLER CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035340",
"telephone_number": "314-513-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 PERSHALL RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631351408",
"telephone_number": "314-513-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBORG",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "00047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.