Active NPI
Ann Odwyer Blackwell, OT
- Occupational Therapist
- Morganton, NC
National Provider Identifier
1154800738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3845
- Practice address
- 107 Magnolia Dr
Morganton, NC 28655-4505 - Phone
- (828) 390-5004
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3845 | NC | Primary |
Addresses
Primary practice location
107 Magnolia Dr
Morganton, NC 28655-4505
Mailing address
321 Mountain View Ave SE
Valdese, NC 28690-3320
Phone (828) 390-5004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3845 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1154800738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MOUNTAIN VIEW AVE SE",
"city": "VALDESE",
"state": "NC",
"postal_code": "286903320",
"telephone_number": "828-390-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MAGNOLIA DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554505",
"telephone_number": "828-390-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "ANN",
"middle_name": "ODWYER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.