Active NPI
Lauryn Blake
- Occupational Therapy Assistant
- Urbana, IL
National Provider Identifier
1306732359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 101 W Windsor Rd
Urbana, IL 61802-6603 - Phone
- (217) 344-2144
- NPI assigned
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
101 W Windsor Rd
Urbana, IL 61802-6603
Mailing address
1509 Hobson Dr
Rantoul, IL 61866-1359
Phone (708) 890-1065
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1306732359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 HOBSON DR",
"city": "RANTOUL",
"state": "IL",
"postal_code": "618661359",
"telephone_number": "708-890-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W WINDSOR RD",
"city": "URBANA",
"state": "IL",
"postal_code": "618026603",
"telephone_number": "217-344-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "LAURYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.