Active NPIIndividual providerSole proprietor

Andrea Blake, OTR

Occupational Therapist in Wilton, Connecticut

NPI Number1669088100
Practice location
17 Woodchuck Ln, Wilton, CT 06897-3427
Fax
—
Last updated
September 21, 2020

Andrea Blake is an Occupational Therapist based in Wilton, CT. Andrea Blake practices in Wilton, CT and has the professional credentials of OTR. The NPI Number for Andrea Blake is 1669088100 and holds a License No. 5513 (CT). The current practice location address for Andrea Blake is 17 Woodchuck Ln, Wilton, CT 06897-3427 and can be reached out via phone at 347-604-4574.

Provider Profile Details

NPI Number
1669088100
Provider Name
Andrea Blake
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
17 Woodchuck Ln, Wilton, CT 06897-3427
Phone Number
347-604-4574
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2020
Last Update Date
September 21, 2020
Certification Date
September 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Woodchuck Ln
Wilton, CT 06897-3427
City
Wilton
Zip
06897-3427
Phone Number
347-604-4574
Wilton, CT 06897Get directions →

Provider Business Mailing Address Details

Address
17 Woodchuck Ln
Wilton, CT 06897-3427
City
Wilton
State
CT
Zip
06897-3427

License Information

License Number
5513
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea Blake, OTR?

The NPI number of Andrea Blake, OTR is 1669088100. It was assigned on September 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Andrea Blake, OTR?

Andrea Blake, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 5513.

Where does Andrea Blake, OTR practice?

The practice location is 17 Woodchuck Ln, Wilton, CT 06897-3427. The office can be reached at 347-604-4574 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669088100 directly on the NPPES registry website.

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