COURTNEY BLAKE (NPI# 1942675152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942675152 |
| Entity Type | Individual |
| Full Name | COURTNEY BLAKE |
| Practice Address |
500 Vermillion St Centerville SD 57014-2168 |
| Mailing Address |
29468 466th Ave Centerville SD 57014-6308 |
| Practice Telephone | 6052123446 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 0967 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 076277 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813918 | Courtney Christine Blake | Social Worker | 758 Broadway, Ulster Park, NY 12487-5407 | 2019-07-24 |
| 1649700584 | Courtney Pope Blake | Social Worker | 523 Rockingham Rd, Rockingham, NC 28379 | 2017-06-13 |
| 1184876278 | Courtney L Blake | Licensed Practical Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2008-10-21 |
| Street Address |
500 VERMILLION ST |
| City | CENTERVILLE |
| State | SD |
| Zip Code | 57014-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684637 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 500 Vermillion St, Centerville, SD 57014-2168 | 2005-10-24 |
| 1760042329 | Justine Katherine Sanderson | Occupational Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2019-06-17 |
| 1417445230 | Centerville Care & Rehab Center Inc | Skilled Nursing Facility | 500 Vermillion St, Centerville, SD 57014-2168 | 2018-04-26 |
| 1205216082 | Jake Broscha | Physical Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-06-05 |
| 1669868352 | Megan Walding | Physical Therapist | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-04-09 |
| 1154743516 | Kalli Price | Occupational Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2014-01-20 |
| 1518300235 | Centerville Development Corporation | Skilled Nursing Facility | 500 Vermillion St, Centerville, SD 57014-2168 | 2013-04-11 |
| 1669643706 | Michelle Lea Nelson | Physical Medicine & Rehabilitation | 500 Vermillion St, Centerville, SD 57014-2168 | 2008-03-17 |
| 1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
| 1508969569 | Cody D Carstensen | Pharmacist | 512 Broadway, Centerville, SD 57014 | 2006-09-06 |
| 1528017662 | Pioneer Memorial Hospital &health Services | Clinic/Center | 512 Broadway, Centerville, SD 57014-0070 | 2006-05-08 |
| 1417284928 | Candace L Verdoorn | Nurse Practitioner | 512 Broadway, Centerville, SD 57014-0070 | 2009-11-05 |
| 1043313950 | Lavonne Isaak | Pharmacy Technician | 512 Broadway, Centerville, SD 57014-0070 | 2006-09-06 |
| 1134129836 | Centerville Community Ambulance Service, Inc. | Ambulance | 800 Main Street, Box 181, Centerville, SD 57014-0181 | 2005-07-26 |
| 1922023944 | Justin Delzer | Chiropractor | 540 Broadway, Centerville, SD 57014-0271 | 2006-07-12 |
| 1407181001 | Centerville School District 60-01 | Local Education Agency (LEA) | 610 Lincoln St, Centerville, SD 57014-2040 | 2009-10-15 |
| 1720605397 | Bruce Adam Bennett | Registered Nurse | 610 Lincoln St, Centerville, SD 57014-2040 | 2020-06-30 |
| Find all providers in zip 57014 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462161 | Laurel Geer | Occupational Therapist | 21517 Little Cooley Rd, Centerville, PA 16404-1635 | 2018-10-12 |
| 1497236186 | Diana Balser | Occupational Therapist | 10949 Cobble Brook Dr, Centerville, OH 45458-9739 | 2018-08-22 |
| 1457857492 | Shay Brown | Occupational Therapist | 109 Crestwood Ct, Centerville, GA 31028-1414 | 2018-03-30 |
| 1992045082 | Keri Anne Hansen | Occupational Therapist | 2201 State St, Centerville, SD 57014-2300 | 2013-02-26 |
| 1699033654 | Shalee Stevens | Occupational Therapist | 29238 463rd Ave, Centerville, SD 57014-6704 | 2012-04-27 |
| 1104427608 | Julie Marie Jackson | Occupational Therapist | 9320 Avalon Cir, Centerville, OH 45458-4989 | 2020-11-03 |
| 1013478510 | Alexandra Demboski | Occupational Therapist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2019-03-27 |
| 1891266672 | Shawn Dale Morgan | Occupational Therapist | 715 Congress Park Dr, Centerville, OH 45459-4044 | 2018-12-05 |
| 1538601232 | Claire Murphy | Occupational Therapist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2016-11-11 |
| 1003269655 | Lauren Michelle Becker | Occupational Therapist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2016-07-19 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 57014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.