Active NPI
Dee A Blakemore, OTR
- Occupational Therapist
- Aldrich, MO
National Provider Identifier
1891839148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004279
- Practice address
- 576 Highway WW
Aldrich, MO 65601-9200 - Phone
- (417) 694-8007
- Fax
- (417) 694-8007
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004279 | MO | Primary |
Addresses
Primary practice location
576 Highway WW
Aldrich, MO 65601-9200
Mailing address
576 Highway WW
Aldrich, MO 65601-9200
Phone (417) 694-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004279 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1891839148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 HIGHWAY WW",
"city": "ALDRICH",
"state": "MO",
"postal_code": "656019200",
"telephone_number": "417-694-8007",
"fax_number": "417-694-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 HIGHWAY WW",
"city": "ALDRICH",
"state": "MO",
"postal_code": "656019200",
"telephone_number": "417-694-8007",
"fax_number": "417-694-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKEMORE",
"first_name": "DEE",
"middle_name": "A",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.