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Jalissa Nicole Black, OTD, OTR

Occupational Therapist in Valdosta, GA · enumerated 2024 · practices at Southern Therapy Solutions LLC.

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

National Provider Identifier

1770346785

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Registry record

Entity type Individual (Type 1)
Name Jalissa Nicole Black
Credential OTD, OTR
Sex Female
Practice address 3256 N Valdosta Rd, Valdosta, GA, 31602
Fax (888) 450-0379
Enumeration date Feb 1, 2024
Last updated in NPPES Feb 1, 2024

Taxonomy & licenses

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT009030 (GA) 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

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jalissa Black?
Jalissa Black is registered in NPPES with the primary taxonomy of Occupational Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-01.