Individual provider Active NPI

Cassidy G Blevins, OTD

  • Occupational Therapist
  • Suffolk, VA
National Provider Identifier
1700510039
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119009621 Issued in VA
Practice address
1001 Centerbrooke LN Ste 103
Suffolk, VA 23434-8663
Phone
(757) 774-5600
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119009621 VA Primary

Addresses

Primary practice location

1001 Centerbrooke LN Ste 103
Suffolk, VA 23434-8663

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (888) 830-4125

Other practice location 1

5604 Virginia Beach Blvd Ste 101A
Virginia Beach, VA 23462-5631
Phone (757) 455-5000

Other names 1

  • Cassidy G Blevins Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
JP Therapy, LLC CurrentSince Jul 10, 2023 Accepting new patients
Fleming Therapy Services, LLC Occupational Therapist PastSince Jul 17, 2022 Accepting new patients

Locations

5604 Virginia Beach Blvd
#101A
Virginia Beach, VA 23462
Phone (757) 383-8121

5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1700510039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "888-830-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CENTERBROOKE LN STE 103",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348663",
            "telephone_number": "757-774-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 Virginia Beach Blvd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625631",
            "country_code": "US",
            "telephone_number": "757-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "CASSIDY",
        "middle_name": "G",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "BLEVINS",
            "middle_name": "G",
            "credential": "OTD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.