Aimee Jean Blake, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5248 Issued in NC

Practice address

401 Lambert Rd
Biscoe, NC 27209-9002

Phone

(910) 428-2117

NPI assigned

Nov 1, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1750893673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4478 FORK RD",
            "city": "NORWOOD",
            "state": "NC",
            "postal_code": "281288456",
            "telephone_number": "704-984-2816",
            "fax_number": "910-428-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LAMBERT RD",
            "city": "BISCOE",
            "state": "NC",
            "postal_code": "272099002",
            "telephone_number": "910-428-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "AIMEE",
        "middle_name": "JEAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "5248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis R Anthony, PA
• Autumn Care of Biscoe, LLC (Autumn Care of Biscoe)
• Autumn Corporation (Autumn Care of Biscoe)
• Autumn Corporation (Autumn Care of Biscoe)
• Biscoe Pharmacy, Inc.
• Stuart Briggs, DDS
• Jasmine Broadway
• Rachel Saunders Bruce, PHARMD
• David Nelson Buckland, PA-C
• Carolina Quickcare Family Practice, PLLC (Carolina QuickCare Family Practice)

• Occupational Therapy Assistant in Biscoe, NC
• Providers in Biscoe, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.