Nancy R Blank, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

763 Issued in MA

Practice address

4 Wethersfield Rd # 8
Natick, MA 01760-1770

Phone

(508) 655-6000

Fax

(508) 653-5555

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Reform Physical Therapy LLC.

  • Physical Therapy Clinic/Center
  • Natick, MA
  • NPI 1205548880
  NPD
• Preservation Physical Therapy and Wellness LLC

  • Physical Therapist
  • Natick, MA
  • NPI 1568005627
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1164099917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MORAN RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014445",
            "telephone_number": "508-875-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WETHERSFIELD RD # 8",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601770",
            "telephone_number": "508-655-6000",
            "fax_number": "508-653-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "NANCY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milana Bhaskar
• Daniele Bick, M.D.
• Indre Bielskus, DPT
• Big Little Steps Pediatric Physical Therapy, LLC
• Dwan Bland, LICSW
• George Alan Blevins, PC
• Shannon M Bligdon, O.D.
• Jill Myerow Bloom, PH.D.
• Bluebird Therapy Collective, LLC
• Cressida Blythe

• All providers in Natick, MA
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.