Blossoming Beginnings, LLC

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Legal business name

BLOSSOMING BEGINNINGS, LLC

Practice address

3021 Polenta Rd
Clayton, NC 27520-8944

Phone

(919) 390-4827

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Dolin Mattes, COTA/LNPI 1679206486

Title

Owner/ Occupational Therapy

Phone

(919) 390-4827

Specialties & licenses 3

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Mattes, COTA/L

  • Occupational Therapy Assistant
  • Garner, NC
  • NPI 1679206486
  NPD Authorized official
• Sharon Payne, OTRL

  • Occupational Therapist
  • Clayton, NC
  • NPI 1437095239
  NPD
• Courtney Privette, COTAL

  • Occupational Therapy Assistant
  • Clayton, NC
  • NPI 1417893215
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1497599179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 POLENTA RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208944",
            "telephone_number": "919-390-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 POLENTA RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208944",
            "telephone_number": "919-390-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "MATTES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DOLIN",
        "authorized_official_title_or_position": "OWNER/ OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "919-390-4827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• George William Bliss III, PHARMD
• Zachary J Bloom, M.D.
• Blooming Expressions Therapy, PLLC
• Montressa Monique Blount, NP
• Blue Lotus Healing Center, LLC
• Suzanne Elizabeth Boak, LMSW, ACSW
• Sanita Boateng, PHARMD
• Patricia S. Bock, L.C.A.S, L.C.S.W.

• Occupational Therapy Assistant in Clayton, NC
• Providers in Clayton, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.