Provider Demographics
NPI:1275198319
Name:SCHILLINGER, CHERRY L (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHERRY
Middle Name:L
Last Name:SCHILLINGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5481 BLUE SAGE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2946
Mailing Address - Country:US
Mailing Address - Phone:720-638-8875
Mailing Address - Fax:
Practice Address - Street 1:5481 BLUE SAGE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2946
Practice Address - Country:US
Practice Address - Phone:720-638-8875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005897225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO225X00000XMedicaid