Blake Abitua, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

215264 Issued in TX

Practice address

2835 Shadowbriar Dr
Houston, TX 77077-3267

Phone

(281) 759-6700

NPI assigned

Jul 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1043797145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 AUSTIN PKWY APT 1806",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791226",
            "telephone_number": "713-303-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SHADOWBRIAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773267",
            "telephone_number": "281-759-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITUA",
        "first_name": "BLAKE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayan Abilmouna, O.D.
• Oluwatosin Abina
• Olasunkanmi Michael Abiodun
• Alishka Abioye, MD
• Oseni Omomo Abiri, APRN
• Abj Active Life HCS Inc
• Abj Active Life HCS, Inc.
• Abj Equity LLC
• Abk Health Services
• Mousa Abkhezr, PHARM.D

• Occupational Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.