Paul Thomas Blair, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT502 Issued in TN

Practice address

322 E College St
Dyer, TN 38330-1730

Phone

(731) 420-0446

NPI assigned

Apr 14, 2020

Last updated

Apr 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ut Lebonheur Pediatric Specialists, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1093024101
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1104445659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 HIGHWAY 70",
            "city": "CEDAR GROVE",
            "state": "TN",
            "postal_code": "383216456",
            "telephone_number": "731-420-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E COLLEGE ST",
            "city": "DYER",
            "state": "TN",
            "postal_code": "383301730",
            "telephone_number": "731-420-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 S College St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "TN",
            "postal_code": "383822801",
            "country_code": "US",
            "telephone_number": "731-420-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Baird
• Lauren S Blackwood, PHARMD
• Gary James Buchanan
• Jamie Burrus, FNP-C
• Jenna Lee Dubruiel, PA
• Douglas R Duncan, DPH
• Dyer Nursing Home, Inc.

• Occupational Therapist in Dyer, TN
• Providers in Dyer, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.