Individual provider · Type 1 NPI

Blake Green, MOT

Occupational Therapist · Bridgeport, WV

NPI number 1215866975 Active

Practice location

37 Grande Meadows Dr Ste 102
Bridgeport, WV 26330-9035

Call (304) 592-2009 Map

Fax (304) 599-7800

Mailing address

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2672 (WV)

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 1215866975

Blake Green, MOT's National Provider Identifier is 1215866975, issued on May 18, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bridgeport, WV. The record was last updated on May 18, 2026.