Nicole L Blevins, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

KYR3456 Issued in KY

Practice address

353 Bogle St
Suite 203
Somerset, KY 42503-2888

Phone

(606) 679-1761

Fax

(606) 678-0971

NPI assigned

Jul 9, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

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.

• Kentucky Physical Therapy Services of Somerset, LLC

  dba Kentucky Physical Therapy Services of Somerset

  • Physical Therapist
  • Somerset, KY
  • NPI 1730984386

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124051438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BOGLE ST",
            "address_2": "SUITE 203",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032888",
            "telephone_number": "606-679-1761",
            "fax_number": "606-678-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BOGLE ST",
            "address_2": "SUITE 203",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032888",
            "telephone_number": "606-679-1761",
            "fax_number": "606-678-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KYR3456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000371917",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Blakley
• Rebecca Jeannine Blakley, CPNP
• Erin Blasko
• Blaze Valley Corporation (Blaze Valley Home Medical)
• Carter L Blevins, DMD
• Blooming Behavioral Health
• Christopher Blount
• Blue Grass Physiotherapy, PLLC
• Bluegrass Developmental Group
• Bluegrass Hearing Clinic, LLC

• Occupational Therapist in Somerset, KY
• Providers in Somerset, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.