Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jeffery Todd Black, COTA

Occupational Therapy Assistant in Sissonville, WV · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568588531

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Registry record

Entity type Individual (Type 1)

Name Mr. Jeffery Todd Black

Credential COTA

Sex Male

Practice address 302 Cedar Ridge Rd, Sissonville, WV, 25320

Phone (304) 984-0046

Enumeration date Mar 22, 2007

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License C#1399 (WV) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jeffery Black practice?

The practice location on file with NPPES is in Sissonville, WV. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jeffery Black?

The National Provider Identifier (NPI) for Jeffery Black is 1568588531, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.