Hannah Blair, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA15722 Issued in FL

Practice address

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953-7302

Phone

(513) 503-9374

NPI assigned

Oct 7, 2017

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

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1407366115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 SIENNA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "513-503-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "HANNAH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graziella Bitzer
• Kimberlee Bjorn, LMT
• Kristen Bjorn
• Gary M Blackmon, R.PH.
• George Howard Blackwell III, DC
• Margaret Giles Blair
• Kiana L Blake, RBT
• Mickia Ticre Blake
• Naomi Blake, LMHC
• Yaneysy Blanco Ruano

• Occupational Therapy Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; 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.