Optimum Occupational Therapy Services, LLC

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

Legal business name

OPTIMUM OCCUPATIONAL THERAPY SERVICES, LLC

Practice address

706 Highway 82 W
Greenwood, MS 38930-5028

Phone

(662) 455-0030

Fax

(662) 247-1489

NPI assigned

Mar 18, 2018

Organization subpart

No

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

Authorized official

Name

Miss Shirley Blanton, MOT, OTR/L, SCLVNPI 1225531486

Title

Member-Manager, Ceo

Phone

(662) 455-0030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Blanton, MOT, OTR/L, SCLV

  • Low Vision Occupational Therapist
  • Greenwood, MS
  • NPI 1225531486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665273600000",
    "number": "1750885588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390380573",
            "telephone_number": "662-455-0030",
            "fax_number": "662-247-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305028",
            "telephone_number": "662-455-0030",
            "fax_number": "662-247-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM OCCUPATIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "MEMBER-MANAGER, CEO",
        "authorized_official_telephone_number": "662-455-0030",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MOT, OTR/L, SCLV"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.