Individual provider Active NPI

M. Christine Blymiller, COTA

  • Occupational Therapy Assistant
  • Oneida, NY
National Provider Identifier
1245507698
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
000809-1 Issued in NY
Practice address
701 Lenox Ave
Oneida, NY 13421-1500
Phone
(315) 363-9281
Fax
(315) 363-9286
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 000809-1 NY Primary

Addresses

Primary practice location

701 Lenox Ave
Oneida, NY 13421-1500

Mailing address

701 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281

Other names 1

  • M. Christine Herbst Former name

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

LicenseStateTypeSpecialty
000809-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. PastSince Dec 11, 2016 Accepting new patients
Madison Cortland Chapter, Nysarc, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1245507698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211500",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211500",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYMILLER",
        "first_name": "M.",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "000809-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "HERBST",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneida, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.