Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE BLACKMON
ActiveBROOKE BLACKMON is a Occupational Therapist healthcare provider located in SOUTHGATE, Michigan. NPI 1780418590 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1780418590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2024 (1.9474360473676 yrs)
- Last Updated
- Jun 27, 2025
- License
-
5502008669 (MI)
Practice Information
- Address
-
15400 NORTHLINE RDSOUTHGATE, MI, 481952689Browse MI providers · Browse ZIP 48195
- Phone
- 7342850100
- Fax
- 7342850101
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| KIM M WYSNER | PTA | 1235300328 |
| BARBARA ANN GLOVIS | — | 1104164151 |
| CRISTINA HOWELL | PTA | 1033575915 |
| COURTNEY GARDNER | PTA | 1740735109 |
| MUHAMMAD HAMID | P.T.A. | 1649735416 |
| THERESA ANN MEHALL | PTA | 1871210070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.