Timothy Ryan Blanton

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002457 Issued in VA

Practice address

100 England St FL 2
Ashland, VA 23005-2013

Phone

(804) 368-8475

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2023.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1356023972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 TISBERRY LN",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENGLAND ST FL 2",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230052013",
            "telephone_number": "804-368-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Bell, LCSW
• Ry Willis Bergum, PMHNP
• Eliot William Bird, D.D.S.
• Robert P Bird, RPH
• Elizabeth Carol Sperry Blankenship, LCSW
• Blossoming Willows Integrative Therapy, PLLC
• Carleigh Violet Bodin, LCSW
• Bon Secours Memorial Regional Medical Center Inc
• Bon Secours Memorial Regional Medical Center LLC
• Bon Secours Memorial Regional Medical Center LLC

• All providers in Ashland, VA
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.