Jalissa Nicole Black, OTD, OTR
NPI 1770346785ActiveIndividual· Occupational Therapist· Valdosta, GA
Occupational Therapist (OTD, OTR) in Valdosta, Georgia, licensed in GA, with an NPI issued in February 2024. Medicare paid $24,147 for services to 16 patients in 2024.
Overview
| NPI | 1770346785 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD, OTR |
| Sole proprietor | No |
| NPI issued | Feb 1, 2024 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT009030 | GA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 1,180 across 10 procedure codes |
| Paid by Medicare | $24,147 |
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