Connie Blanco, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT#460 Issued in OK

Practice address

9777 N Council Rd Apt 727
Oklahoma City, OK 73162-5551

Phone

(405) 474-6885

NPI assigned

Aug 22, 2011

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1104106269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 BRISTOL PARK BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 N COUNCIL RD APT 727",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625551",
            "telephone_number": "405-474-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "CONNIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT#460",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "OT#460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Lee Blanchard, MD
• Laura Blanchard
• Lee Blanchard
• Thersa L Blanchard, BHRS
• Raymond M. Blanchey, LADC
• Luis J. Blanco, D.M.D., M.S.
• Meredith Leigh Bland, OTR/L
• Joy-Kaye Blaney
• Kathryn Brannnen Blaney, MS CCC-SLP
• Laura Elizabeth Blaney, LPC

• Occupational Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.