MRS. KATIE OGLETREE BLACK OT
NPI 1053579409
Occupational Therapist - Neurorehabilitation in Jackson, MS

Active since June 01, 2008
1350 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 981-2611 Get Directions Write a Review

NPPES record last updated: June 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Katie Ogletree Black Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATIE OGLETREE BLACK OT (NPI 1053579409) is an individual neurorehabilitation provider in Jackson, Mississippi, licensed in Mississippi (1731) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1053579409
Entity TypeIndividualFemale
Primary Taxonomy225XN1300X
Provider Legal NameMRS. KATIE OGLETREE BLACKCredential: OT
Location Address1350 E WOODROW WILSON AVEJackson, MS 39216-5112
Mailing Address1350 E Woodrow Wilson AveJackson, MS 39216-5112 · (601) 981-2611
Sole ProprietorNo
Enumeration DateJune 1, 2008
NPI 1053579409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License Licensed in MS · 1731
1350 E WOODROW WILSON AVE, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Clinical Neuropsychologist
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist (Clinical)
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Physical Therapist
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist (Clinical)
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Speech-Language Pathologist
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Physical Therapist
1350 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychiatry & Neurology (Neurology)
1350 E WOODROW WILSON AVE, SUITE 2
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Black's NPI number?

The NPI number for Katie Black is 1053579409. It was assigned to this individual provider in the NPPES registry on June 1, 2008.

Where is Katie Black located?

Katie Black practices at 1350 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 981-2611.

What is Katie Black's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

When was this NPI record last updated?

The NPPES record for Katie Black was last updated on June 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.