Amy Lynn Blaettner, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

31000439A Issued in IN

Practice address

5736 Thornbriar LN
Fort Wayne, IN 46835-3874

Phone

(260) 515-9071

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

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.

• Empowerme Rehabilitation Colorado, LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1063176493
  Medicare reassignment NPD
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Broomfield, CO
  • NPI 1841347598
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1912199480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 THORNBRIAR LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353874",
            "telephone_number": "260-515-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 THORNBRIAR LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353874",
            "telephone_number": "260-515-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAETTNER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31000439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Blackburn, DT
• Melissa Jane Blackmer, LMHC, LMFT,
• Lyndsie Blackmon
• Sailaja M Blackmon, MD
• Toni Walker Blackwood, M.S., CCC-SLP
• Johanna Blaettner
• Makayla Blain, NP
• Jesse Blair, DDS
• Natalie Joy Blair, COTA
• Nathaniel Blair, ATC

• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.