Active NPI
Erica Miranda Blaschke, MS, OTR/L
- Occupational Therapist
- Holly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11249
- Practice address
- 1140 Holly Springs Rd Ste 111
Holly Springs, NC 27540-9634 - Phone
- (919) 285-2157
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11249 | NC | Primary |
Addresses
Primary practice location
1140 Holly Springs Rd Ste 111
Holly Springs, NC 27540-9634
Mailing address
1117 Matisse Dr
Fuquay Varina, NC 27526-2808
Phone (757) 333-1678
Other practice location 1
113 Hillcrest Dr
Sanford, NC 27330-4020
Phone (919) 777-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200813002276 | NC | Practitioner - Occupational Therapist in Private Practice | 5294151841 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11249 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefit Therapy Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Dymond Speech & Rehab., P.a. | Occupational Therapist | Past | Accepting new patients |
Locations
1140 Holly Springs Rd
Ste 111
Holly Springs, NC 27540
Phone (919) 285-2157
600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Holly Springs, NC
- NPI 1275994113
NC, Occupational Therapist
-
- Speech-Language Pathologist
- Sanford, NC
- NPI 1487692851
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1235656380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 MATISSE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262808",
"telephone_number": "757-333-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 HOLLY SPRINGS RD STE 111",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275409634",
"telephone_number": "919-285-2157"
}
],
"practiceLocations": [
{
"address_1": "113 Hillcrest Dr",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "NC",
"postal_code": "273304020",
"country_code": "US",
"telephone_number": "919-777-0240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLASCHKE",
"first_name": "ERICA",
"middle_name": "MIRANDA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
- Vishwa Bhargav Bhalodia, PHYSICAL THERAPIST
- Hiteshri Suresh Bhavsar, MD
- Beatriz Aponte Bidgood, PA-C
- Jacqueline Biehl, LCCE, CLC
- Sarah Constance Billiar, PMHNP, DNP
- Breana Rachelle Blue, PHARMD
- Christina Boctor, DDS
- Kathryn Clay Boddicker, MS CC SLP
- Body Restoration Massage & Bodywork LLC
- Boss Urgent Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.