Markelle Lane Blair, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC006216L Issued in PA

Practice address

2631 W 8TH St
Erie, PA 16505-4034

Phone

(814) 464-0627

Fax

(814) 464-0629

NPI assigned

Feb 15, 2007

Last updated

Oct 1, 2019By the provider in NPPES

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 identifiers 1

Other names 1

• Markelle Willison Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Niagara Therapy LLCGroup PAC ID 9234282443, 15 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Niagara Therapy L.L.C.

  • Rehabilitation Clinic/Center
  • Erie, PA
  • NPI 1760634166

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Niagara Therapy, LLC

  • Physical Therapy Clinic/Center
  • Erie, PA
  • NPI 1427580836
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1457494494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054034",
            "telephone_number": "814-464-0627",
            "fax_number": "814-464-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054034",
            "telephone_number": "814-464-0627",
            "fax_number": "814-464-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Nolte Dr",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162017111",
            "country_code": "US",
            "telephone_number": "724-543-8880",
            "fax_number": "724-543-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MARKELLE",
        "middle_name": "LANE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006216L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "OC006216L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARKELLE",
            "last_name": "WILLISON",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Blackford, LCSW
• Richard Chadwick Blackford, PH.D.
• Christina Grace Blacksten
• Blaine M Bell DMD PC
• Brian David Blair, CRNP
• Jacob R Blake, PHARMD
• Jeffery Irving Blake, M.D.
• Lawrence David Blake, DDS
• Kirsten Elizabeth Blakeslee, DO
• Ryan David Blanc, DDS

• Occupational Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.