Active NPI
Haley A Blackburn, OTR/L
- Occupational Therapist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 280468
- Practice address
- 2344 Elkhorn Rd
Lexington, KY 40509-2784 - Phone
- (859) 788-2369
- NPI assigned
- Sep 7, 2022
- Last updated
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 280468 | KY | Primary |
Addresses
Primary practice location
2344 Elkhorn Rd
Lexington, KY 40509-2784
Mailing address
2213 Lakeside Dr
Lexington, KY 40502-3020
Phone (859) 321-6911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280468 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Kentucky, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Kentucky, LLC | Current | Accepting new patients | |
| PT Solutions Holdings, LLC | Current | Accepting new patients | |
| PT Solutions Holdings, LLC | Current | Accepting new patients | |
| PT Solutions of Michigan LLC | Occupational Therapist | Past | Accepting new patients |
Locations
1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555
2344 Elkhorn Rd
Lexington, KY 40509
Phone (859) 788-2369
2344 Elkhorn Rd
Ste 150
Lexington, KY 40509
Phone (606) 280-1679
3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1275166696
Occupational Therapist
-
dba PT Solutions of London
- Physical Therapist
- Lexington, KY
- NPI 1689013419
-
- Rehabilitation Clinic/Center
- Florence, KY
- NPI 1669195640
-
- Physical Therapist
- Lexington, KY
- NPI 1831858547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1447971502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 LAKESIDE DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023020",
"telephone_number": "859-321-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2344 ELKHORN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092784",
"telephone_number": "859-788-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "HALEY",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "280468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.