IndividualActive
Blake Green, MOT
NPI 1215866975 · Occupational Therapist · Bridgeport, WV
Provider details
- NPI number
- 1215866975
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT
- Sex
- Male
- Sole proprietor
- No
- License
- 2672 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
37 Grande Meadows Dr Ste 102
Bridgeport, WV 26330-9035
Phone: (304) 592-2009
Fax: (304) 599-7800
Approximate (ZIP-level) locationGet directions
Mailing address
6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.