Active NPIIndividual providerSole proprietor

Gina Black, OT

Occupational Therapist in Vineland, New Jersey

NPI Number1043775000
Practice location
3339 Burnt Mill Dr, Vineland, NJ 08360-1613
Fax
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Last updated
February 4, 2019

Gina Black is an Occupational Therapist based in Vineland, NJ. Gina Black practices in Vineland, NJ and has the professional credentials of OT. The NPI Number for Gina Black is 1043775000 and holds a License No. 46tr00502300 (NJ). The current practice location address for Gina Black is 3339 Burnt Mill Dr, Vineland, NJ 08360-1613 and can be reached out via phone at 609-675-1699.

Provider Profile Details

NPI Number
1043775000
Provider Name
Gina Black
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
3339 Burnt Mill Dr, Vineland, NJ 08360-1613
Phone Number
609-675-1699
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 4, 2019
Last Update Date
February 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3339 Burnt Mill Dr
Vineland, NJ 08360-1613
Zip
08360-1613
Phone Number
609-675-1699
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
3339 Burnt Mill Dr
Vineland, NJ 08360-1613
City
Vineland
State
NJ
Zip
08360-1613

License Information

License Number
46tr00502300
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gina Black, OT?

The NPI number of Gina Black, OT is 1043775000. It was assigned on February 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Gina Black, OT?

Gina Black, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46tr00502300.

Where does Gina Black, OT practice?

The practice location is 3339 Burnt Mill Dr, Vineland, NJ 08360-1613. The office can be reached at 609-675-1699 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043775000 directly on the NPPES registry website.

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