Michelle L Blankenbaker, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10728 Issued in FL

Practice address

14813 N Dale Mabry Hwy
Suite 720
Tampa, FL 33618-2027

Phone

(813) 964-5618

NPI assigned

May 27, 2008

Last updated

Jan 28, 2020By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports and Orthopedic Rehabilitation Services, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1336539030
  Medicare reassignment NPD
• Visitry Florida LLC

  dba Visitry

  • Physical Therapist
  • Tampa, FL
  • NPI 1659131837
  Medicare reassignment NPD
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • New Port Richey, FL
  • NPI 1518357219
  NPD
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD
• Rehabclinics SPT Inc

  dba NovaCare Rehabilitation

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1093973042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14813 N DALE MABRY HWY",
            "address_2": "SUITE 720",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182027",
            "telephone_number": "813-964-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14813 N DALE MABRY HWY",
            "address_2": "SUITE 720",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182027",
            "telephone_number": "813-964-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENBAKER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yiara S. Blanco, PSY.D.
• Lee Bland, DPT
• Karen R Blanden, L.M.H.C.
• Luis Eduardo Blandon Martinez, STUDENT
• Breanna Faith Blanken, RBT
• Bailey Christine Blankenship, CNP
• Rachel Blankenship, RN
• Reece Blankenship, PA-C
• Louellen Blankinship, SLP
• Carmelo J. Blanquicett, M.D.,PH.D.

• Occupational Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.