Individual provider Active NPI

Erica Miranda Blaschke, MS, OTR/L

  • Occupational Therapist
  • Holly Springs, NC
National Provider Identifier
1235656380
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11249 Issued in NC
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

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11249NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefit Therapy Services, PLLC Occupational Therapist CurrentSince Jun 17, 2020 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.

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

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.

Verify at the official NPI Registry.