Deronda Black, OTR
Pediatric Occupational Therapist · Vicksburg, MI
Deronda Black, OTR is a pediatric occupational therapist with a practice address in Vicksburg, Michigan, and NPI 1316114150, issued on May 12, 2008. Check the license with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Deronda Black
- Credential
- OTR
- Primary taxonomy
- Pediatric Occupational Therapist 225XP0200X
- License number
- 31004281A IN
Self-reported in NPPES; status is on the state search - Practice location
- 14416 Portage RD, Vicksburg, MI 49097
- Phone
- (269) 649-1848
- Enumerated
- May 12, 2008
- Entity
- Type 1 · individual
Verify Deronda Black in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
1 pediatric occupational therapist records list a Vicksburg practice address
They are 1 of the 61 NPPES records with a Vicksburg practice address, and 236 pediatric occupational therapist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other pediatric occupational therapist records in Michigan
- Jessica Achs, COTA/LChesterfield, MI1477880847
- Breanne Aird, MSOT, OTR/LTraverse City, MI1275224271
- Debra Albrecht, OTRChesterfield, MI1871748194
- Laurie AldermanNiles, MI1467651562
- Beth Angst, OTRLDetroit, MI1285126466
- Mary Archer, MS, OTR/LNovi, MI1114371663
- Brian Arrol, OTLDavisburg, MI1891909412
- Jaide Bammer, OTRLJackson, MI1962109793
- Taylor BanksDearborn, MI1528990314
- Emily Barglind, OTR/L, OTDMarquette, MI1497637185
Common questions
What is Deronda Black, OTR's NPI number?
Deronda Black, OTR's National Provider Identifier (NPI) is 1316114150, issued on May 12, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Deronda Black, OTR located?
The NPPES record lists a practice address at 14416 Portage RD, Vicksburg, MI, 49097. Phone: (269) 649-1848. Providers update this record themselves, so call before visiting.
How can I verify Deronda Black, OTR's license?
Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.