Emilia Blackwell, OT
Individual provider Active NPI Occupational Therapist · Pascagoula, MS
NPI 1831643345 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1831643345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT3255 (MS)
- Practice address
- 921 Columbus Dr
Pascagoula, MS 39567-6481 - Phone
- (228) 990-0576
- NPI assigned
- Aug 12, 2016
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3255 | MS | Yes |
Addresses
Primary practice location
921 Columbus Dr
Pascagoula, MS 39567-6481
Mailing address
921 Columbus Dr
Pascagoula, MS 39567-6481
Phone (228) 990-0576
Other providers in Pascagoula, MS
- Bienville Orthopaedic Specialists, LLC
- Bienville Therapy, LLC
- Linda Sue Bilbo
- Kayla Julaine Bird
- Arthur Dewayne Black
- Demari Blakely
- Blue Heron Speech Therapy, PLLC
- Raymond Patrick Blythe
- Erin Hakim Bohner
- Katherine Harlan Bolding
All providers in Pascagoula, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. 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.