Individual provider · Type 1 NPI

Matthew Black, OTD

Occupational Therapist · Fort Benning, GA

NPI number 1093594319 Active

Practice location

5241 23rd Infantry Regiment St Bldg 3410
Fort Benning, GA 31905-5922

Mailing address

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Other practice locations

  • 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 · (541) 226-7995

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT009562 (GA)

Occupational Therapist: 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…

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About NPI 1093594319

Matthew Black, OTD's National Provider Identifier is 1093594319, issued on Sep 26, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Benning, GA. The record was last updated on Jun 6, 2025.