BLAKE GREEN MOT
NPI 1215866975
Occupational Therapist in Bridgeport, WV

Active since May 18, 2026
37 GRANDE MEADOWS DR STE 102, BRIDGEPORT, WV 26330(304) 592-2009(304) 599-7800 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blake Green Mot NPPES

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

BLAKE GREEN MOT (NPI 1215866975) is an individual occupational therapist in Bridgeport, West Virginia, licensed in West Virginia (2672) and active in the NPI registry since May 2026. He is a graduate of West Virginia University School Of Medicine (2025).

NPPES Registry Identity

NPI1215866975
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameBLAKE GREENCredential: MOT
Location Address37 GRANDE MEADOWS DR STE 102Bridgeport, WV 26330-9035
Mailing Address6000 Hampton Ctr Ste BMorgantown, WV 26505-1748 · (304) 599-1500 · Fax (304) 599-7800
Fax(304) 599-7800
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2025
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1215866975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WV · 2672
Definition
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.
37 GRANDE MEADOWS DR STE 102, Bridgeport, WV 26330

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Green Mot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224594486
PECOS Enrollment IDI20260728003060

Medicare Billing Reassignment

Medicare enrollment records show Blake Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
6000 HAMPTON CENTER SUITE B
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Speech-Language Pathologist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Physical Therapist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Speech-Language Pathologist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Physical Therapist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Physical Therapist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Occupational Therapist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330
Occupational Therapist
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330

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 Blake Green's NPI number?

The NPI number for Blake Green is 1215866975. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Blake Green located?

Blake Green practices at 37 Grande Meadows Dr Ste 102, Bridgeport, WV 26330. The listed phone number is (304) 592-2009.

What is Blake Green's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Blake Green enrolled in Medicare?

Yes. Blake Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Blake Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Green reassigns Medicare benefits to Therapy Services, LLC (Morgantown, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Blake Green was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.