Lacey Bree Lashley Blevins, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2066 Issued in OK

Practice address

611 S Country Club Rd
Muskogee, OK 74403-6222

Phone

(918) 686-8100

NPI assigned

Jul 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lacey Bree Lashley Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, 152 clinicians

Empowerme Rehabilitation Oklahoma LLCGroup PAC ID 5496088296, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Oklahoma LLC

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1023514247

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1366024077

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1407536725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N ANTHONY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033908",
            "telephone_number": "918-869-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S COUNTRY CLUB RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744036222",
            "telephone_number": "918-686-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "LACEY",
        "middle_name": "BREE LASHLEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "LASHLEY",
            "middle_name": "BREE",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter Nicole Blair, LPN
• Sandra K Blakeslee, RN, BSN, CNOR
• Kellie Blankenship
• Leslie Renee Blankenship, B.A.
• Gregory Keyton Blaylock
• Blue Sky Behavior Al Health Inc
• Blue Sky Behavioral Health, Inc.
• Board of Regents of the University of Oklahoma Ou Physicians Tulsa
• Olukanyin M Bodeharrison, M.A
• Victoria Janelle Bodine-Ford, RN, MS

• Occupational Therapist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.