Healthcare Provider Details

I. General information

NPI: 1699241885
Provider Name (Legal Business Name): STEPHANIE ROBINSON-NIGRO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 06/12/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 BRIGHAM ST.
MORRISTOWN VT
05661-6030
US

IV. Provider business mailing address

PO BOX 6
LAKE ELMORE VT
05657-0006
US

V. Phone/Fax

Practice location:
  • Phone: 802-448-4141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: