Matthew Stephen Blake, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310

Phone

(480) 374-4341

NPI assigned

Jul 26, 2024

Last updated

May 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mariposa Speech Services LLCGroup PAC ID 2264867027, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mariposa Speech Services LLC

  • Physical Therapy Clinic/Center
  • Tempe, AZ
  • NPI 1922531045

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1528897816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 E DARTMOUTH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056403",
            "telephone_number": "385-215-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W ELLIOT RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841310",
            "telephone_number": "480-374-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "1425 S 1500 E",
            "city": "Clearfield",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840151613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Black Sheep Behavioral, PLLC (Black Sheep Behavioral)
• Amy Blackburn, RN
• Danielle Nicole Blackburn, RBT
• Shane Kyle Blacker, DDS
• Charlotte Blackwell
• Karen Blanco, FNP-C
• Michael Ray Blankenship, PT, DPT, MS, ATC/LAT
• Edward G Blankstein, MD
• Sidney Blanz-Enright
• Demarra Bledsoe

• Occupational Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.