Active NPI
Rebecca Blaschka, MS, OTRL
- Occupational Therapist
- South Haven, MI
National Provider Identifier
1285097394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009399
- Practice address
- 850 Phillips St
South Haven, MI 49090-1845 - Phone
- (269) 637-5147
- NPI assigned
- Apr 5, 2016
- 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 | 5201009399 | MI | Primary |
Addresses
Primary practice location
850 Phillips St
South Haven, MI 49090-1845
Mailing address
23939 Finch Ave
Mattawan, MI 49071-8320
Phone (989) 233-3405
Other practice location 1
120 Baseline Rd
South Haven, MI 49090-1037
Phone (269) 767-0787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009399 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1285097394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23939 FINCH AVE",
"city": "MATTAWAN",
"state": "MI",
"postal_code": "490718320",
"telephone_number": "989-233-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 PHILLIPS ST",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490901845",
"telephone_number": "269-637-5147"
}
],
"practiceLocations": [
{
"address_1": "120 Baseline Rd",
"address_purpose": "LOCATION",
"city": "South Haven",
"state": "MI",
"postal_code": "490901037",
"country_code": "US",
"telephone_number": "269-767-0787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLASCHKA",
"first_name": "REBECCA",
"credential": "MS, OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.