BLAKE ERIC SMITH (NPI# 1639547904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639547904 |
| Entity Type | Individual |
| Full Name | BLAKE ERIC SMITH |
| Credential | COTA |
| Practice Address |
169 Valentine Rd Pittsfield MA 01201-3042 |
| Mailing Address |
12 Bena St Pittsfield MA 01201-1011 |
| Practice Telephone | 4134452300 |
| Mailing Telephone | 4137706383 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 008716-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TRICARE | 277684274 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780927269 | Blake Robert Smith | Otolaryngology | 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 | 2013-04-03 |
| 1952591398 | Blake E Smith | Optometrist | 4612 S Coulter St, Amarillo, TX 79119-6403 | 2007-08-01 |
| 1649839317 | Blake Edward Smith | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-06-06 |
| 1275089609 | Blake Smith | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-08-26 |
| 1770979221 | Blake Gaither Smith | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249 | 2015-04-11 |
| 1093132631 | Blake Andre Smith | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2014-03-20 |
| 1881031946 | Blake Daniel Smith | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601-2324 | 2013-05-30 |
| 1760718282 | Blake Smith | Registered Nurse | 80 Enoch Blvd, Savannah, TN 38372 | 2009-10-19 |
| 1518192533 | Blake Allen Smith | Psychiatry & Neurology | 4805 Montgomery Rd, Suite 410, Cincinnati, OH 45212-2198 | 2009-05-19 |
| 1760512966 | Blake Andrew Smith | Emergency Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-03-06 |
| Street Address |
169 VALENTINE RD |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992889786 | Hillcrest Extended Care Services, Inc | Skilled Nursing Facility | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2006-10-25 |
| 1164029831 | Sarabeth Plotkin | Physical Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2020-10-06 |
| 1811459951 | Layla Hallinan | Occupational Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2019-04-05 |
| 1093279309 | Shelby Phillips | Physical Medicine & Rehabilitation | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2019-01-31 |
| 1780173906 | Angela Anita Martin | Physical Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2018-05-03 |
| 1598265092 | Christopher Laptew | Occupational Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2018-02-20 |
| 1124547419 | Grace M Olmsted | Speech-Language Pathologist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2017-09-18 |
| 1710405659 | Molly Anne Corse | Physical Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2017-08-30 |
| 1922537703 | Heather J Sullivan | Occupational Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2017-06-06 |
| 1568828531 | June Osborne | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2016-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730594839 | Jennie Hart | Occupational Therapy Assistant | 158 Raymond St, Pittsfield, ME 04967-5330 | 2014-06-26 |
| 1013283944 | Amy A. Santos | Occupational Therapy Assistant | 11 Pine Grove Dr, Pittsfield, MA 01201-4429 | 2012-03-26 |
| 1528376043 | Penny Marshman | Occupational Therapy Assistant | 38 Ocean Street, Pittsfield, MA 01201 | 2010-09-17 |
| 1548400666 | Annette T Eshelman | Occupational Therapy Assistant | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2009-03-02 |
| 1467059618 | Anna Mckenney | Occupational Therapy Assistant | 167 School St, Pittsfield, ME 04967-4747 | 2020-10-01 |
| 1801416292 | Louis Evans | Occupational Therapy Assistant | 1000 North St, Pittsfield, MA 01201-1585 | 2020-04-26 |
| 1659845774 | Stacy M Swan | Occupational Therapy Assistant | 610 Lowry St, Pittsfield, IL 62363-1768 | 2019-01-11 |
| 1568828531 | June Osborne | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2016-01-06 |
| 1295142305 | Nicole Smith | Occupational Therapy Assistant | 610 Lowry St, Pittsfield, IL 62363-1768 | 2014-07-21 |
| 1659782423 | Timothy Pratt | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2014-05-15 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.