Dawn K Blake, O.T.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

222 Issued in HI

Practice address

244 Papa PL
Suite 102
Kahului, HI 96732-2988

Phone

(808) 873-7700

Fax

(808) 873-7100

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maui Center for Child Development, Inc.

  • Pediatric Occupational Therapist
  • Kahului, HI
  • NPI 1003136433

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1891015236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "PUUNENE",
            "state": "HI",
            "postal_code": "967841379",
            "telephone_number": "808-873-7700",
            "fax_number": "808-873-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PAPA PL",
            "address_2": "SUITE 102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322988",
            "telephone_number": "808-873-7700",
            "fax_number": "808-873-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "DAWN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shery Bio, RBT
• Douglas K Birch, D.P.M.
• Robert A. Bird, M.D.
• Andrea Lee Birmingham, LSW
• Ashley Elizabeth Black
• BLM Incorporated
• Jasmine Blocker
• Body Nature Physical Therapy , LLC
• Aurelia Bonham, D.D.S., M.S.
• Paul Eugene Bonham, D.D.S., M.S.

• All providers in Kahului, HI
• Pediatric Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.