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

Kayla Blackmon, OT

Individual provider Occupational Therapist · NPI 1184218422

Kayla Blackmon, OT is an Occupational Therapist in Private Practice in Manassas, Virginia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2021
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

9379 Forestwood Ln
Manassas, VA 20110-4760
Phone: (571) 208-1298
Fax: (571) 292-1757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3840 Hulen St, Fort Worth, TX 76107-7277 — (817) 335-3022

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 121283 (TX)

Record details

NPI number1184218422
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedFebruary 26, 2021
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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