Erica Blackford Dent, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1288 Issued in AR

Practice address

207 Balfour Rd
West Memphis, AR 72301-1701

Phone

(870) 733-9950

NPI assigned

Nov 19, 2017

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

Other names 1

• Erica Ann Blackford Former name

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.

• Frank C. Steudlein Learning Center

  • Developmentally Disabled Services Day Training Agency
  • West Memphis, AR
  • NPI 1841416716
  NPD (past)

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1891209482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ROOSEVELT AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013953",
            "telephone_number": "870-514-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BALFOUR RD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011701",
            "telephone_number": "870-733-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENT",
        "first_name": "ERICA",
        "middle_name": "BLACKFORD",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BLACKFORD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah M. Williams DDS
• Demetria Declouet
• Kristain Bradley Dedmon, PHARM.D.
• Latasha Delaney
• Delta Orthopaedics & Sports Medicine, PLLC
• Norman Clifford Denton, M.D.
• Diane Derose
• James Prentice Derossitt, M.D.
• Donna Carlene Devazier, PTA
• Development Resource Service LLC

• Occupational Therapy Assistant in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.