Nicole Blake-Jones
Individual provider Active NPI Occupational Therapy Assistant · Rockford, MI
NPI 1174237374 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1174237374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 9455 Stone View Dr NE # de
Rockford, MI 49341-7471 - Phone
- (616) 916-0310
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | Yes |
Addresses
Primary practice location
9455 Stone View Dr NE # de
Rockford, MI 49341-7471
Mailing address
9455 Stone View Dr NE # de
Rockford, MI 49341-7471
Phone (616) 916-0310
Other providers in Rockford, MI
- Mitchell Brian Berkenpas
- Rachel Marie Berti
- Beyond the Bump
- Peter J Birkeland
- Stephanie Bisson
- Amanda Marie Blandford
- Rebecca Blasen
- Emily Blazic
- Erin L Bloomquist
- Nathaniel Bobb
All providers in Rockford, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.