Active NPI
Susann Elizabeth Blackman, COTA
- Occupational Therapy Assistant
- Helena, MT
National Provider Identifier
1376797266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 953
- Practice address
- 2555 E Broadway St
Helena, MT 59601-4990 - Phone
- (406) 447-1651
- NPI assigned
- Nov 5, 2008
- Last updated
- Nov 5, 2008
- 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 | 953 | MT | Primary |
Addresses
Primary practice location
2555 E Broadway St
Helena, MT 59601-4990
Mailing address
123 River Butte Dr
Columbia Falls, MT 59912-9170
Phone (406) 892-4444
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 |
|---|---|---|---|
| 953 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1376797266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 RIVER BUTTE DR",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599129170",
"telephone_number": "406-892-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014990",
"telephone_number": "406-447-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "SUSANN",
"middle_name": "ELIZABETH",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MT",
"license": "953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.