MR. LAVELLE BLACKWELL JR. (NPI# 1053714907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053714907 |
| Entity Type | Individual |
| Full Name | MR. LAVELLE BLACKWELL JR. |
| Practice Address |
4601 Martin Luther King Jr Ave Sw Washington DC 20032-1131 |
| Mailing Address |
7830 Contee Rd #129 Laurel MD 20707-9231 |
| Practice Telephone | 2022616598 |
| Mailing Telephone | 2167890509 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT010000978 | DC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4601 MARTIN LUTHER KING JR AVE SW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770687642 | Bio-medical Applications of Southeast Washington, Inc. | Clinic/Center | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2006-09-12 |
| 1992310262 | Lucia H Resende | Nurse Practitioner | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2020-09-13 |
| 1184238693 | Sultana Paqiri | Dietitian, Registered | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2020-09-02 |
| 1407464613 | Andrea Siluk | Speech-Language Pathologist | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2020-07-14 |
| 1326504390 | Philip Carstens | Occupational Therapist | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2019-02-14 |
| 1194219642 | Himabindu Pulapa | Physical Medicine & Rehabilitation | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2018-06-19 |
| 1609377191 | Jacob Scott Miller | Physician Assistant | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2018-02-21 |
| 1588162663 | Vesper Medical Transport of Washington Dc | Ambulance | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032 | 2018-01-24 |
| 1326578782 | Tamata Health Services Inc | Nurse Practitioner | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2017-06-18 |
| 1790137396 | Precision Cardiovascular LLC | Internal Medicine | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| 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 |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1841801982 | Queeny Brown | Occupational Therapist | 5100 Connecticut Ave Nw Apt 205, Washington, DC 20008-2052 | 2020-08-12 |
| 1932719846 | Eric Ryan Wehmhoefer | Occupational Therapist | 1680 E Sandhill Dr, Washington, UT 84780-8308 | 2020-08-05 |
| 1619585627 | Samantha Tobon | Occupational Therapist | 4900 Mass Ave Nw Ste 340, Washington, DC 20016-4358 | 2020-07-15 |
| 1609402122 | Kaitlin Lillywhite | Occupational Therapist | 2500 41st St Nw, Washington, DC 20007-1257 | 2020-03-16 |
| 1407487366 | Legacy Healthcare Services Inc. | Occupational Therapist | 1481 Marbach Dr, Washington, MO 63090-4636 | 2020-01-30 |
| 1982256616 | Mary Ola Glasgow | Occupational Therapist | 3700 N Capitol St Nw # B, Washington, DC 20011-8400 | 2019-07-12 |
| 1114579182 | Alethea Merelos | Occupational Therapist | 102 Irving St Nw Ste 2330, Washington, DC 20010-2921 | 2019-07-10 |
| 1609436831 | Claire Bernadette Luck | Occupational Therapist | 4540 Dubois Creek Ln, Washington, MO 63090-6156 | 2019-06-19 |
| 1639733363 | Karen Horowitz | Occupational Therapist | 2400 Virginia Ave Nw Apt C4200, Washington, DC 20037-2612 | 2019-04-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
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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.