Active NPI
Brooke Blalock, COTA
- Occupational Therapy Assistant
- Hamlet, NC
National Provider Identifier
1033816343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 8756
- Practice address
- 769 Cheraw Rd
Hamlet, NC 28345-7158 - Phone
- (910) 582-0021
- NPI assigned
- Feb 8, 2023
- Last updated
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 8756 | NC | Primary |
Addresses
Primary practice location
769 Cheraw Rd
Hamlet, NC 28345-7158
Mailing address
29317 Nelson Mountain Rd
Albemarle, NC 28001-7520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8756 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1033816343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29317 NELSON MOUNTAIN RD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280017520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 CHERAW RD",
"city": "HAMLET",
"state": "NC",
"postal_code": "283457158",
"telephone_number": "910-582-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLALOCK",
"first_name": "BROOKE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "8756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamlet, NC
- Scott Benet Bankard, MPT
- Birmingham Drug Co Inc
- Bjutiful Soul Health (Bjutiful Soul Health and Hair Growth)
- Cynthia Black, LPN
- James C. Black, MA CLINICAL PSY.
- Sherita Le'Nae Blue, OTR/L
- Melva Richardson Bowman, M.D.
- Britthaven, Inc. (Britthaven of Hamlet)
- Diane Lynn Brown, ANP
- H Marshall Brown, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.