Individual provider Active NPI

Valerie Elizabeth Blankenship, MOTR-L

  • Occupational Therapist
  • Saint Peters, MO
National Provider Identifier
1083750301
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2003020387 Issued in MO
Practice address
15 Greenfield Dr
Saint Peters, MO 63376-3013
Phone
(636) 685-6891
Fax
(636) 685-6892
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2003020387 MO Primary

Addresses

Primary practice location

15 Greenfield Dr
Saint Peters, MO 63376-3013

Mailing address

15 Greenfield Dr
Saint Peters, MO 63376-3013
Phone (636) 685-6891

Other names 1

  • Mrs. Valerie Elizabeth Marshall Former name

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

LicenseStateTypeSpecialty
2003020387MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1083750301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREENFIELD DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763013",
            "telephone_number": "636-685-6891",
            "fax_number": "636-685-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREENFIELD DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763013",
            "telephone_number": "636-685-6891",
            "fax_number": "636-685-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "VALERIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MOTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2003020387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "MARSHALL",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.