IndividualActive
Mozelle Blackmon, OT
NPI 1942525134 · Occupational Therapist · Fort Lawn, SC
Provider details
- NPI number
- 1942525134
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2891 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5380 Crawford Rd
Fort Lawn, SC 29714-8562
Phone: (803) 235-3524
Street-level locationGet directions
Mailing address
1408 Jasper Ridge Dr
Fort Mill, SC 29707-5837
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2014-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.