Natalie Flynn Blackley, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21900 Issued in CA

Practice address

165 Park Meadow LN
Bolingbrook, IL 60440-1577

Phone

(217) 473-4151

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083254908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PARK MEADOW LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401577",
            "telephone_number": "217-473-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PARK MEADOW LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401577",
            "telephone_number": "217-473-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Woods Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Town and Country",
            "state": "MO",
            "postal_code": "630173106",
            "country_code": "US",
            "telephone_number": "636-549-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN BLACKLEY",
        "first_name": "NATALIE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-09-11",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.