Healthcare Provider Details

I. General information

NPI: 1154236982
Provider Name (Legal Business Name): CHRISTINA BLAIR BILLMAN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9624 BAILEY RD STE 273
CORNELIUS NC
28031-6120
US

IV. Provider business mailing address

145 NEW BERN ST APT 539
CHARLOTTE NC
28209-4327
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-9500
  • Fax: 803-228-0101
Mailing address:
  • Phone: 919-427-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number18739
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18739
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: