Kondale Abdisa
Individual provider Active NPI Driving and Community Mobility Occupational Therapist · Blacklick, OH
NPI 1760175301 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1760175301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driving and Community Mobility Occupational Therapist 225XR0403X
- Practice address
- 8049 Grant Park Ave
Blacklick, OH 43004-5058 - Phone
- (614) 556-7894
- NPI assigned
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapist | 225XR0403X | Yes |
Addresses
Primary practice location
8049 Grant Park Ave
Blacklick, OH 43004-5058
Mailing address
8049 Grant Park Ave
Blacklick, OH 43004-5058
Other providers in Blacklick, OH
- A Legacy of Abundant Pathways LLC
- Ajia Aaron
- Miguel Abad
- Linda Abankwa
- Hawa Abdi
- Accelerated Rehabilitation Centers, LTD.
- Ace 1 Transport LLC
- Tika Acharya
- Ad Medical Transportation
- Rebecca Adams
All providers in Blacklick, OH · Driving and Community Mobility Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.