Individual provider Active NPI

Debra O. Haney, OT

  • Occupational Therapist
  • Gastonia, NC
National Provider Identifier
1487894341
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2803 Issued in NC
Practice address
870 Summit Crossing PL
Gastonia, NC 28054-2192
Phone
(704) 671-1860
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2803 NC Primary

Addresses

Primary practice location

870 Summit Crossing PL
Gastonia, NC 28054-2192

Mailing address

136 Corporate Park Dr
Suite a
Mooresville, NC 28117-6959
Phone (704) 360-2796

Other practice location 1

136 Corporate Park Dr
Mooresville, NC 28117-6959
Phone (704) 360-2796

Other practice location 2

870 Summit Crossing Pl
Gastonia, NC 28054-2192
Phone (704) 323-2000

Other names 1

  • Debra D Oblander Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000490 NC Practitioner - Occupational Therapist in Private Practice 0749338671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2803NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Occupational Therapist CurrentSince Jul 10, 2017 Accepting new patients
Orthocarolina Occupational Therapist CurrentSince Jul 10, 2017 Accepting new patients
Saylor Physical Therapy CurrentSince Jun 1, 2016 Accepting new patients
Foundation Health Systems LLC Occupational Therapist Past Accepting new patients

Locations

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

870 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 671-1860

136 Corporate Park Dr
Ste A
Mooresville, NC 28117
Phone (704) 360-2796

Organizations & group practices 4

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": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1487894341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176959",
            "telephone_number": "704-360-2796",
            "fax_number": "704-360-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SUMMIT CROSSING PL",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542192",
            "telephone_number": "704-671-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176959",
            "country_code": "US",
            "telephone_number": "704-360-2796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 Summit Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542192",
            "country_code": "US",
            "telephone_number": "704-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "DEBRA",
        "middle_name": "O.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "OBLANDER",
            "middle_name": "D",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.