Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brett Black, MOT, OT/L

Individual provider Occupational Therapy Assistant · NPI 1851768303

Brett Black, MOT, OT/L is an Occupational Therapy Assistant in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4497 W Pecan St
Fayetteville, AR 72704-7909
Phone: (501) 230-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT2023-028 (AR)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OT-A1000 (AR)

Record details

NPI number1851768303
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT , OT/L
Sole proprietorYes
NPI enumeratedAugust 31, 2015
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

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