Individual provider Active NPI

Blondine Jean-Packard, OT

  • Occupational Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1265969786
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7091 Issued in TN
Practice address
9000 Burma Rd Ste 109
Palm Beach Gardens, FL 33403-1606
Phone
(561) 508-6122
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 7091 TN Primary

Addresses

Primary practice location

9000 Burma Rd Ste 109
Palm Beach Gardens, FL 33403-1606

Mailing address

7710 NE Greenwood Dr Ste 150
Vancouver, WA 98662-7904
Phone (360) 207-1554

Other practice location 1

3610 S 1000 W
South Salt Lake, UT 84119-7829
Phone (801) 288-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528000768 WA Practitioner - Occupational Therapist in Private Practice 6507243078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Utah School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabbert Clinic PLLCGroup PAC ID 8527448331, 6 clinicians

Practice addresses (Care Compare)

7710 NE Greenwood Dr
Suite 150
Vancouver, WA 98662-7904
Phone (360) 207-1554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7091TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gabbert Clinic PLLC Occupational Therapist CurrentSince Apr 10, 2025 Accepting new patients

Locations

7710 NE Greenwood Dr
Ste 150
Vancouver, WA 98662
Phone (360) 207-1554

Organizations & group practices 1

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1265969786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NE GREENWOOD DR STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627904",
            "telephone_number": "360-207-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 BURMA RD STE 109",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031606",
            "telephone_number": "561-508-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 S 1000 W",
            "address_purpose": "LOCATION",
            "city": "South Salt Lake",
            "state": "UT",
            "postal_code": "841197829",
            "country_code": "US",
            "telephone_number": "801-288-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-PACKARD",
        "first_name": "BLONDINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.