Individual provider · Type 1 NPI

Toni Rae Blackwell, OT

Occupational Therapist · Fayetteville, NC

NPI number 1104784073 Active

Practice location

905 Wattle Bird Dr
Fayetteville, NC 28312-7223

Mailing address

862 Three Wood Dr
Fayetteville, NC 28312-8735

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X18820 (NC)

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 1104784073

Toni Rae Blackwell, OT's National Provider Identifier is 1104784073, issued on Jan 12, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 7, 2026.