Karsen Gwen Bleckley
Individual provider Active NPI Occupational Therapy Assistant · Clayton, GA
NPI 1326711599 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1326711599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA002206 (GA)
- Practice address
- 547 Warwoman Rd
Clayton, GA 30525-5142 - Phone
- (706) 782-4276
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA002206 | GA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA002206 | GA | Yes |
Addresses
Primary practice location
547 Warwoman Rd
Clayton, GA 30525-5142
Mailing address
PO Box 635
Clayton, GA 30525-0016
Phone (706) 982-4064
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | karsen.bleckley@c-ross.com | Direct |
Other providers in Clayton, GA
- Amy Shearin Benfield
- Robert Berger
- Alexis Lauren Bevill
- Christy Elizabeth Black
- Karen Saunders Blair
- Jason A Bonner
- Jillian Marie Bowman
- Bree Hickox Bragg
- Sara Louise Brett
- Paul Curtis Brookshire
All providers in Clayton, GA · Occupational Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. 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.