Mr Michael Shields Blake Jr, OTR/L - Occupational Therapist in Boston, MA

Mr Michael Shields Blake Jr, OTR/L is a Occupational Therapist based in Boston, Massachusetts. Mr Michael Shields Blake Jr is licensed to practice in Massachusetts (license number 14466) and his current practice location is 300 Longwood Ave, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 355-7212.

NPI number for Mr Michael Shields Blake Jr is 1033848031 and his current mailing address is 4894 W 14th St, Cleveland, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033848031.

Contact Information

Mr Michael Shields Blake Jr, OTR/L
300 Longwood Ave,
Boston, MA 02115-5724
(617) 355-7212
Not Available



Healthcare Provider's Profile

Full NameMr Michael Shields Blake Jr
GenderMale
SpecialityOccupational Therapist
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033848031
  • Provider Enumeration Date: 06/07/2022
  • Last Update Date: 06/07/2022

Medical Identifiers

Medical identifiers for Mr Michael Shields Blake Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033848031NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 14466 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Shields Blake Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Michael Shields Blake Jr, OTR/L
4894 W 14th St,
Cleveland, OH 44109-5659

Ph: (440) 554-6560
Mr Michael Shields Blake Jr, OTR/L
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-7212

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› Verified 9 days ago


Occupational Therapist in Boston, MA

Asiya Baksh, MS
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Warren St, Boston, MA 02135
Phone: 617-254-3800    Fax: 617-779-1361
Ms. Jennifer Lynne Reynolds, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Tufts New England Medical Center 750 Washington Street, Boston, MA 02111
Phone: 617-636-5000    
Elizabeth Mf Lin, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 300 Longwood Ave, Boston, MA 02115
Phone: 617-355-7212    Fax: 617-730-0151
Mrs. Stacie Selfridge, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 30 Northampton Street, Boston, MA 02118
Phone: 617-433-9601    Fax: 617-445-6538
Miss Lisa Jane Evans, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Parkman St, Boston, MA 02114
Phone: 617-724-0147    Fax: 617-726-3004
Ms. Jennfier Kaldenberg, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 930 Commonwealth Ave, Boston, MA 02215
Phone: 617-262-2020    Fax: 617-236-6323
Stephanie Jonnie Karban, M.S., OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Parkman St, Mgh Main Campus: Department Of Occupational Therapy, Boston, MA 02114
Phone: 617-726-8537    

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