Individual provider Active NPI

Jamie Elizabeth Bleakley, OTR/L

  • Pediatric Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1629338066
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2449 Issued in AK
Practice address
207 E Northern Lights Blvd Ste 101
Anchorage, AK 99503
Phone
(907) 222-9905
Fax
(907) 222-9925
NPI assigned
May 19, 2012
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2449 AK Primary

Addresses

Primary practice location

207 E Northern Lights Blvd Ste 101
Anchorage, AK 99503

Mailing address

207 E Northern Lights Blvd Ste 101
Anchorage, AK 99503-2730
Phone (907) 222-9905

Other practice location 1

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone (907) 345-0050

Other practice location 2

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone (907) 345-0050

Other identifiers 1

IdentifierTypeStateIssuer
1023518MedicaidAK

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

LicenseStateTypeSpecialty
2449AKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Therapy & Wellness Center, LLC Past Accepting new patients
All for Kids Pediatric Therapy Clinic Pediatrics PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1629338066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032730",
            "telephone_number": "907-222-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-222-9905",
            "fax_number": "907-222-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6927 Old Seward Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995182283",
            "country_code": "US",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6927 Old Seward Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995182283",
            "country_code": "US",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEAKLEY",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023518",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.