Blake Green, MOT
NPI 1215866975ActiveIndividual· Occupational Therapist· Bridgeport, WV
Occupational Therapist (MOT) in Bridgeport, West Virginia, trained at West Virginia University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1215866975 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOT |
| Sole proprietor | No |
| NPI issued | May 18, 2026 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2672 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (WV) |
|---|
Education and affiliations
| Medical school | West Virginia University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Therapy Services, LLCBridgeport, WV · 23 clinicians
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