Grace Blazevich, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

133335 Issued in IA

Practice address

3100 100TH St
Urbandale, IA 50322-3869

Phone

(515) 207-9655

NPI assigned

Jun 24, 2025

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rise Pediatric Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Urbandale, IA
  • NPI 1376275180

  Occupational Therapist

  NPD
• Rise Therapy Center, PLLC

  • Speech-Language Pathologist
  • Ankeny, IA
  • NPI 1154202620

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1437046141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223869",
            "telephone_number": "515-207-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223869",
            "telephone_number": "515-207-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEVICH",
        "first_name": "GRACE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "133335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Renae Bickel, RPH
• Miranda Maye Biermann, OTR/L, OTD
• Melissa Billings, OD
• Nicole Kimberly Binney, LMFT
• Penjit Blakely
• Christen Anne Bliss, MOTR/L
• Bloom Community Services
• Bloom Women's Wellness, LLC
• Blooming Life Center LLC
• Blue Stone Therapy Inc.

• Occupational Therapist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.