Debora Ann Brumback, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

0119005891 Issued in VA

Practice address

2875 Barn Rd
Suite 100
Christiansburg, VA 24073-6389

Phone

(540) 639-5786

Fax

(540) 633-0787

NPI assigned

Apr 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Professional Rehab Associates, Inc

  • Physical Therapist
  • Radford, VA
  • NPI 1487759957
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1992048599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 BARN RD",
            "address_2": "SUITE 100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736389",
            "telephone_number": "540-639-5786",
            "fax_number": "540-633-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 BARN RD",
            "address_2": "SUITE 100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736389",
            "telephone_number": "540-639-5786",
            "fax_number": "540-633-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBACK",
        "first_name": "DEBORA",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "VA",
            "license": "0119005891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corwin Lee Brower, RPH
• Amy Nicole Brown
• Jacqueline Alexandria Brown, DDS
• Ralph Brown, MD
• Lisa M Broyden, MS, OTR/L
• Rhonda M. Bryant, LPC
• Caitlyn Elizabeth Renee Burch
• Reanna Burch
• Deborah Burchard, NP
• Rachel Leigh Burgess, LPC

• All providers in Christiansburg, VA
• Physical Rehabilitation Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.