Individual provider Active NPI

Kerron Blunte, OT

  • Occupational Therapist
  • Washington, DC
National Provider Identifier
1417225459
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT210002137 Issued in DC
Practice address
2112 F St NW Ste 305
Washington, DC 20037-2761
Phone
(202) 912-8480
Fax
(202) 912-8484
NPI assigned
Dec 5, 2011
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT210002137 DC Primary

Addresses

Primary practice location

2112 F St NW Ste 305
Washington, DC 20037-2761

Mailing address

2112 F St NW Ste 305
Washington, DC 20037-2761
Phone (202) 912-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214000310 DC Practitioner - Occupational Therapist in Private Practice 1557693066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2112 F St NW
Suite 305
Washington, DC 20037-2761
Phone (202) 912-8480

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT210002137DCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 23, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC Occupational Therapist Current Accepting new patients
Centers for Advanced Orthopaedics LLC CurrentSince Jan 23, 2023 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

2112 F St NW
Ste 305
Washington, DC 20037
Phone (202) 251-7232

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1417225459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-912-8480",
            "fax_number": "202-912-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-912-8480",
            "fax_number": "202-912-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNTE",
        "first_name": "KERRON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-05",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT210002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.