Blythe Flake, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1398 Issued in AR

Practice address

2801 Old Greenwood Rd Ste 14
Fort Smith, AR 72903-4560

Phone

(479) 719-5736

Fax

(479) 430-7479

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1518507805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 20",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-719-5736",
            "fax_number": "479-430-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OLD GREENWOOD RD STE 14",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034560",
            "telephone_number": "479-719-5736",
            "fax_number": "479-430-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "BLYTHE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lhaptherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "lhaptherapy@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2801 Old Greenwood Rd Ste 14",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729034560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Lynn Fisher, APN, NP-C
• Monica Lynn Fite, PHARMD
• David A. Fitting, DPT
• Emma Fitzgerald
• Ashley D Flake, BA, QMHP-C,A
• Chrystel Clotilda Flake, PT,MS
• Jania Flake, ATC
• Wyatt Flake
• Alan D Flanagan, MD
• Mary Clare Flanagan, M.D.

• Occupational Therapy Assistant in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.