Active NPI
Dawn-Marie Blackwell, OTR/L
- Occupational Therapist
- Yonkers, NY
National Provider Identifier
1376979633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07301
- Practice address
- 159 Chase Ave Apt 2
Yonkers, NY 10703-1955 - Phone
- (914) 648-9086
- NPI assigned
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 014466 | NY | |
| Occupational Therapist | 225X00000X | 07301 | MD | Primary |
Addresses
Primary practice location
159 Chase Ave Apt 2
Yonkers, NY 10703-1955
Mailing address
159 Chase Ave Apt 2
Yonkers, NY 10703-1955
Other practice location 1
12010 Chase Crossing Cir
403
Rockville, MD 20852-4758
Phone (914) 648-9086
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014466 | NY | MD | Clinical Psychologist |
| 07301 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson in Home Physical Therapy and Occupational Therapy PLLC | Current | Accepting new patients | |
| New York Physical and Occupational Therapy Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Hudson in Home Physical Therapy PLLC | Past | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
Organizations & group practices 3
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.
-
- Physical Rehabilitation Occupational Therapist
- Bronx, NY
- NPI 1366197758
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
Occupational Therapist
-
- Physical Therapist
- Bronx, NY
- NPI 1760748735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1376979633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 CHASE AVE APT 2",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 CHASE AVE APT 2",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031955",
"telephone_number": "914-648-9086"
}
],
"practiceLocations": [
{
"address_1": "12010 Chase Crossing Cir",
"address_2": "403",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208524758",
"country_code": "US",
"telephone_number": "914-648-9086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKWELL",
"first_name": "DAWN-MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014466",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.