Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Khalil Blakley, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1194398073

Jeremy Khalil Blakley, COTA/L is an Occupational Therapy Assistant in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

811 Pine Creek Dr
Greenville, SC 29605-3421
Phone: (864) 395-6358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5257 (SC)

Record details

NPI number1194398073
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

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