Active NPI
Deanne Blanco, OTR/L
- Occupational Therapist
- Rockford, IL
National Provider Identifier
1689620783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 324 Roxbury Rd
Rockford, IL 61107-5090 - Phone
- (815) 398-9491
- Fax
- (815) 381-7498
- NPI assigned
- May 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 056-001827 | IL | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
324 Roxbury Rd
Rockford, IL 61107-5090
Mailing address
Box 78534
Milwaukee, WI 53278-8534
Phone (815) 398-9491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753210 | Other | IL | MEDICARE GROUP |
| 056001827 | Other | IL | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-001827 | IL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers LTD | Occupational Therapist | Past | Accepting new patients |
| Oad Orthopaedics, LTD | Past | Accepting new patients | |
| Accelerated Rehabilitation Centers, LTD | 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 and National Provider Directory roles.
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
Occupational Therapist
-
- Physical Therapist
- Roscoe, IL
- NPI 1043604184
-
- Specialist
- Warrenville, IL
- NPI 1801844642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1689620783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 78534",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788534",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075090",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "DEANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IL",
"license": "056-001827",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "753210",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "056001827",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.