Brandon Anthony Blackwell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

08448 Issued in MD

Practice address

1900 L St NW Ste 607
Washington, DC 20036-5047

Phone

(202) 528-7223

NPI assigned

May 18, 2019

Last updated

May 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Emily Jeter Otrl MSPT CHT Inc

  dba Jeter Rehab Services

  • Physical Rehabilitation Occupational Therapist
  • Washington, DC
  • NPI 1891176418
  NPD (past)

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1811553472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 4TH ST APT 216",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073964",
            "telephone_number": "216-409-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 L ST NW STE 607",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365047",
            "telephone_number": "202-528-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "BRANDON",
        "middle_name": "ANTHONY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08448",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "0T010001475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Duane Blackson
• Martika Denise Blackson
• Mykeira Blackson
• Alfred Blackstone, LPC
• Aretha Blackwell
• Derrick Blackwell Jr.
• Elissa Blackwell
• Equilla Blackwell
• Gregory C Blackwell
• Isaiah Blackwell

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.