Active NPIIndividual provider

Ms. Michelle A Blackburn, OT/L

Occupational Therapist, Neurorehabilitation in Canaan, Connecticut

NPI Number1437686466
Practice location
77 S Canaan RD, Canaan, CT 06018-2517
Fax
—
Last updated
May 22, 2017

Michelle Anne Blackburn is an Occupational Therapist, Neurorehabilitation based in Canaan, CT. Michelle Anne Blackburn practices in Canaan, CT and has the professional credentials of OT/L. The NPI Number for Michelle Anne Blackburn is 1437686466 and holds a License No. 001067 (CT). The current practice location address for Michelle Anne Blackburn is 77 S Canaan RD, Canaan, CT 06018-2517 and can be reached out via phone at 860-824-2600.

Provider Profile Details

NPI Number
1437686466
Provider Name
Michelle Anne Blackburn
Credential
OT/L
Provider Entity Type
Individual
Gender
Female
Address
77 S Canaan RD, Canaan, CT 06018-2517
Phone Number
860-824-2600
Primary Taxonomy
Occupational Therapist, Neurorehabilitation · 225XN1300X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2017
Last Update Date
May 22, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 S Canaan RD
Canaan, CT 06018-2517
City
Canaan
Zip
06018-2517
Phone Number
860-824-2600
Canaan, CT 06018Get directions →

Provider Business Mailing Address Details

Address
22 Windmill Springs Drive
Granby, CT 06035
City
Granby
State
CT
Zip
06035

License Information

License Number (1)
001067
License State (1)
CT
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
001067
License State (2)
CT
Taxonomy (2)
Occupational Therapist, Neurorehabilitation · 225XN1300X · 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 Ms. Michelle A Blackburn, OT/L?

The NPI number of Ms. Michelle A Blackburn, OT/L is 1437686466. It was assigned on May 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Ms. Michelle A Blackburn, OT/L?

Ms. Michelle A Blackburn, OT/L is registered under the primary taxonomy Occupational Therapist, Neurorehabilitation (code 225XN1300X), licensed in CT under license number 001067.

Where does Ms. Michelle A Blackburn, OT/L practice?

The practice location is 77 S Canaan RD, Canaan, CT 06018-2517. The office can be reached at 860-824-2600 (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 1437686466 directly on the NPPES registry website.

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