Active NPI
Mayra H Blanche
- Occupational Therapist
- Madison, AL
National Provider Identifier
1689730194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0292
- Practice address
- 30630 Hwy. 72 West
Madison, AL 35756 - Phone
- (888) 891-9339
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 2007
- 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 | 0292 | AL | Primary |
Addresses
Primary practice location
30630 Hwy. 72 West
Madison, AL 35756
Mailing address
3903 Cooper Street
Huntsville, AL 35801
Phone (256) 536-4582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0292 | Other | AL | OT LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689730194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 COOPER STREET",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-536-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30630 HWY. 72 WEST",
"city": "MADISON",
"state": "AL",
"postal_code": "35756",
"telephone_number": "888-891-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHE",
"first_name": "MAYRA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "0292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "0292",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care West madison)
- Bio-Medical Applications of Alabama, Inc. (FMC Dialysis Services Odyssey)
- Birmingham Recovery Center Inc (Longleaf Recovery Huntsville)
- BJ's Wholesale Club Inc.
- Jeana Era-Ellen Blalock, MD
- Tara L. F. Blasingame, D.P.M.
- Jennifer Kay Bledsoe
- Blue Sky Counseling Services LLC
- Kayla Bobo, CRNP
- Nicole R Bock, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.