Jessica Rose Blaikie, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

13629 Issued in MA

Practice address

1 Rounder Way Ste 225
Burlington, MA 01803-5292

Phone

(781) 362-4638

Fax

(617) 830-9469

NPI assigned

Dec 29, 2020

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

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1508453127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CREST AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514117",
            "telephone_number": "339-532-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROUNDER WAY STE 225",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035292",
            "telephone_number": "781-362-4638",
            "fax_number": "617-830-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIKIE",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "13629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica F Bisson, M.D.
• Ione Bissonnette, CNM
• Carolyne Biyinzika
• Sonya Faye Black
• Caroline Adrienne Blackie, O.D., PH.D.
• Jerry Max Blaine, M.D.
• Shelby E Blair, CRNA
• Diane Carol Blanchette
• Audrey Blaney
• Jody S. Blank, M.D.

• Pediatric Occupational Therapist in Burlington, MA
• Providers in Burlington, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.