Shieka Blake, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21309 Issued in FL

Practice address

16315 SW 29TH St
Miramar, FL 33027-5222

Phone

(754) 204-8167

NPI assigned

Oct 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Playology Therapy Services, LLC

  • Occupational Therapist
  • Decatur, GA
  • NPI 1285342923
  NPD (past)

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1396409686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 SW 29TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275222",
            "telephone_number": "754-204-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 SW 29TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275222",
            "telephone_number": "754-204-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "SHIEKA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Christian Black, M.D.
• Jonathan Black, MD, MPH
• Kentrell Black, ARNP FNP-BC
• Locianna Blackwell, APRN
• William Adrian Blackwell, M.D.
• Carlos Alberto Blanco, MD
• Keily Blanco, PHARM D.
• BLC Therapeutic Resources
• BLC Therapeutic Resources II , Inc
• Bless Medical Center Hollywood LLC

• Occupational Therapist in Miramar, FL
• Providers in Miramar, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.