Heidi R. Blackie, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

00003079 Issued in WA

Practice address

2409 N 45TH St
Seattle, WA 98103

Phone

(206) 633-8100

Fax

(206) 632-1420

NPI assigned

Apr 24, 2007

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Hand

  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1740409317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036907",
            "telephone_number": "206-633-8100",
            "fax_number": "206-632-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-633-8100",
            "fax_number": "206-632-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKIE",
        "first_name": "HEIDI",
        "middle_name": "R.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "00003079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Alan Blackburn
• Kathryn E Blacken, PT
• Dana Blackham, M.D.
• Lauren Villasenor Blackham, ND
• Matthew David Blackham
• Christopher Craig Blackmore
• Emily Blackmore, RN
• Jacqueline Amara Ellen Blackmore
• Sara Blackmur, MSW, LICSW
• Beth L Blacknall, LMHC

• Hand Occupational Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Hand Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.