Blaising Fit Mom, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BLAISING FIT MOM, LLC

Practice address

11446 Abbottswood CT
Upper Marlboro, MD 20774-1654

Phone

(202) 246-4926

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Kendra Plummer, OTR/LNPI 1760892145

Title

Occupational Therapist

Phone

(240) 241-0758

Specialties & licenses 1

Addresses

Other names 1

• Blaising Integrative Pathways Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Plummer

  • Occupational Therapist
  • Upper Marlboro, MD
  • NPI 1760892145
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1083472773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 ABBOTTSWOOD CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 ABBOTTSWOOD CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741654",
            "telephone_number": "202-246-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAISING FIT MOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "240-241-0758",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaising Integrative Pathways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blaising Integrative Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kahmaria Bishop
• Casandra Black
• Lakeisha Blackledge, HHA
• Sarsha Blackman, DDS
• Benjamin Blair
• Jasmine Blake
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• Rebecca Boateng
• Bendoline Bobimwo

• Occupational Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.