Individual provider Active NPI

Deborah Robson Stillerman, OTR/L

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1578898292
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4403 Issued in NC
Practice address
3800 Shamrock Dr
Gensis Rehab at Asbury Care
Charlotte, NC 28215-3220
Phone
(704) 532-5364
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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 4403 NC Primary

Addresses

Primary practice location

3800 Shamrock Dr
Gensis Rehab at Asbury Care
Charlotte, NC 28215-3220

Mailing address

Genesis Rehab
Asbury Care Center at Aldersgate
Charlotte, NC 28215-0008
Phone (704) 532-5364

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

LicenseStateTypeSpecialty
4403NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1578898292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENESIS REHAB",
            "address_2": "ASBURY CARE CENTER AT ALDERSGATE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150008",
            "telephone_number": "704-532-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SHAMROCK DR",
            "address_2": "GENSIS REHAB AT ASBURY CARE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153220",
            "telephone_number": "704-532-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLERMAN",
        "first_name": "DEBORAH",
        "middle_name": "ROBSON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.