Active NPI
Jessica Kristine Bleske, OTR
- Occupational Therapist
- Novi, MI
National Provider Identifier
1386309847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201012656
- Practice address
- 44225 W 12 Mile Rd Ste C-106
Novi, MI 48377-2640 - Phone
- (248) 277-3005
- NPI assigned
- Nov 1, 2021
- Last updated
- Aug 11, 2022
- 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 | 5201012656 | MI | Primary |
Addresses
Primary practice location
44225 W 12 Mile Rd Ste C-106
Novi, MI 48377-2640
Mailing address
44225 W 12 Mile Rd Ste C-106
Novi, MI 48377-2640
Phone (248) 277-3005
Other names 1
- Jessica Kristine Montalbano
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Teams |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Rehabilitation Professionals | Occupational Therapist | Past | Accepting new patients |
| Peds Speech LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1386309847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44225 W 12 MILE RD STE C-106",
"city": "NOVI",
"state": "MI",
"postal_code": "483772640",
"telephone_number": "248-277-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44225 W 12 MILE RD STE C-106",
"city": "NOVI",
"state": "MI",
"postal_code": "483772640",
"telephone_number": "248-277-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLESKE",
"first_name": "JESSICA",
"middle_name": "KRISTINE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2022-08-11",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201012656",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Teams",
"affiliation": "N",
"address_1": "15023 21 Mile Rd",
"city": "Shelby Twp",
"state": "MI",
"country_code": "US",
"postal_code": "483155024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MONTALBANO",
"middle_name": "KRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.