Individual provider Active NPI

Cheryl Elizabeth Blackmon-Thorne, C.O.T.A.

  • Occupational Therapy Assistant
  • Mount Vernon, NY
National Provider Identifier
1376780353
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1-1398 Issued in NY
Practice address
30 Park Ave Apt 7K
Mount Vernon, NY 10550-2138
Phone
(914) 665-6080
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 1-1398 NY Primary

Addresses

Primary practice location

30 Park Ave Apt 7K
Mount Vernon, NY 10550-2138

Mailing address

30 Park Ave Apt 7K
Mount Vernon, NY 10550-2138
Phone (914) 665-6080

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
1-1398NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1376780353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK AVE APT 7K",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502138",
            "telephone_number": "914-665-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE APT 7K",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502138",
            "telephone_number": "914-665-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON-THORNE",
        "first_name": "CHERYL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "1-1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.