Individual provider · Type 1 NPI

Carly Black, MOT, OTR/L

Occupational Therapist · Jacksonville Beach, FL

NPI number 1184275752 Active

Practice location

1157 Beach Blvd
Jacksonville Beach, FL 32250-3445

Call (904) 450-5061 Map

Mailing address

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X20258 (FL)

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 1184275752

Carly Black, MOT, OTR/L's National Provider Identifier is 1184275752, issued on Sep 25, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Aug 11, 2026.