| Cassidy Blevins, OTD | |
|
1001 Centerbrooke Ln Ste 103, Suffolk, VA 23434-8663 | |
| (757) 774-5600 | |
| Not Available |
| Full Name | Cassidy Blevins |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1001 Centerbrooke Ln Ste 103, Suffolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700510039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Virginia) | Primary |
| Provider Name | Jp Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851770598 PECOS PAC ID: 6709192503 Enrollment ID: O20150824001999 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassidy Blevins, OTD Po Box 412307, Boston, MA 02241-2307 Ph: (888) 830-4125 | Cassidy Blevins, OTD 1001 Centerbrooke Ln Ste 103, Suffolk, VA 23434-8663 Ph: (757) 774-5600 |
Alexis Whiteside, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Anna Goode Way, Suffolk, VA 23434 Phone: 757-923-5500 | |
Jillian Rose Grenier, ORT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2007 Meade Pkwy, Suffolk, VA 23434 Phone: 757-539-6300 Fax: 757-539-0704 | |
Mr. Stephanie Sanders-howard, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Anna Goode Way, L.p.w., Suffolk, VA 23434 Phone: 757-539-1526 | |
Cora Petrino, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5871 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-512-7570 | |
Daijah Duvonne Norris, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Crown Arch, Suffolk, VA 23435 Phone: 757-735-1588 | |
Alexandra L D'bene, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Suffolk, VA 23434 Phone: 757-925-6764 | |
Kaylee Nichols, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Centerbrooke Ln Ste 103, Suffolk, VA 23434 Phone: 757-774-5600 |