Active NPI
Cassidy G Blevins, OTD
- Occupational Therapist
- Suffolk, VA
National Provider Identifier
1700510039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119009621
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Therapy, LLC | Current | Accepting new patients | |
| Fleming Therapy Services, LLC | Occupational Therapist | Past | 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.
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
Occupational Therapist
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.