Active NPI
Brianna Marie Blair, OTR/L
- Occupational Therapist
- Goshen, NY
National Provider Identifier
1467195115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026738
- Practice address
- 2 Glenmere Cove Rd
Goshen, NY 10924-6059 - Phone
- (845) 291-4740
- NPI assigned
- Apr 19, 2022
- Last updated
- Apr 19, 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 | 026738 | NY | Primary |
Addresses
Primary practice location
2 Glenmere Cove Rd
Goshen, NY 10924-6059
Mailing address
60 Oak St Apt 3
Walden, NY 12586-1265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026738 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1467195115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 OAK ST APT 3",
"city": "WALDEN",
"state": "NY",
"postal_code": "125861265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GLENMERE COVE RD",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246059",
"telephone_number": "845-291-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "BRIANNA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.