MATTHEW BLACK OTD
NPI 1093594319
Occupational Therapist in Fort Benning, GA
- Individual
- Male
- Occupational Therapist
About MATTHEW BLACK
This page provides the complete NPI Profile along with additional information for Matthew Black, a provider established in Fort Benning, Georgia with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1093594319 assigned on September 2023. The practitioner's primary taxonomy code is 225X00000X with license number OT009562 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1093594319 Verify this NPI
- Provider Name
- MATTHEW BLACK OTD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5241 23RD INFANTRY REGIMENT ST BLDG 3410 FORT BENNING, GA 31905
- Location Phone
- (541) 226-7995
- Mailing Address
- 6600 VAN AALST BLVD FORT BENNING, GA 31905
- Mailing Phone
- (541) 226-7995
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-26-2023
- Last Update Date
- 06-06-2025
- Code Navigator
Location Map
Secondary Locations
- 6600 Van Aalst Blvd
Fort Benning, GA 31905
(541) 226-7995
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- OT009562
- License State
- GA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093594319, enumerated as an "individual" on September 26, 2023.
The provider is located at 5241 23RD INFANTRY REGIMENT ST BLDG 3410 FORT BENNING, GA 31905 and the phone number is (541) 226-7995.
Occupational Therapist with taxonomy code 225X00000X.