Tara Blake, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2222 Issaquah St
Cuyahoga Falls, OH 44221-3704

Phone

(330) 606-3675

NPI assigned

Feb 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1750705802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 SCHUBERT AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213412",
            "telephone_number": "330-606-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 ISSAQUAH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213704",
            "telephone_number": "330-606-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "TARA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Kristina Black, LSW
• Lateesha Black, BS, MBA
• Ross R Black II, MD
• Tamia Blackmon
• Charles Lee Blake, RPH
• Patrick Blakeslee, DO
• Verlaine Blaser, DO
• Heidi Inge Wiedamann Blinka, LPT
• Beth Blondheim, M.A.
• Blue Wheel Health Services

• Occupational Therapy Assistant in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.