Active NPI
Marissa Louise Blackwelder
- Occupational Therapy Assistant
- High Point, NC
National Provider Identifier
1225997083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 17006
- Practice address
- 707 N Elm St
High Point, NC 27262-3917 - Phone
- (800) 235-3645
- NPI assigned
- Jan 19, 2026
- 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 Therapy Assistant | 224Z00000X | 17006 | NC | Primary |
Addresses
Primary practice location
707 N Elm St
High Point, NC 27262-3917
Mailing address
11816 Trinity Rd
Trinity, NC 27370-8300
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 |
|---|---|---|---|
| 17006 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1225997083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11816 TRINITY RD",
"city": "TRINITY",
"state": "NC",
"postal_code": "273708300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N ELM ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623917",
"telephone_number": "800-235-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELDER",
"first_name": "MARISSA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-19",
"certification_date": "2026-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "17006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.