Mark Blaire Amerson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

234140 Issued in AK

Practice address

203 S Santa Claus LN # 4
North Pole, AK 99705-7711

Phone

(907) 887-1697

NPI assigned

Jan 28, 2025

Last updated

Jan 28, 2025By the provider in NPPES

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1104639806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 LAKE TRACE DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443969",
            "telephone_number": "205-515-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S SANTA CLAUS LN # 4",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057711",
            "telephone_number": "907-887-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERSON",
        "first_name": "MARK",
        "middle_name": "BLAIRE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "234140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in North Pole, AK
• Providers in North Pole, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.