Mary Katherine Blatt, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

121053 Issued in TX

Practice address

12708 Riata Vista Cir Ste A106
Austin, TX 78727-7174

Phone

(304) 815-1116

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

Yes

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1821609017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 RIATA VISTA CIR STE A106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 RIATA VISTA CIR STE A106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277174",
            "telephone_number": "304-815-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "121053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ellen Blankenship, MD
• Kimberly Blankenship
• Sarah Blankenship
• Seth Daniel Blankenship, PT, DPT
• Anna Koury Blaszczak, NP
• Adrienne Blau, CCC-SLP
• Megan Blau
• Neal H Blauzvern, D.O.
• Sean Matthew Blaydon, M.D.
• Acura Janae Blaylock, MS, LPC

• Pediatric Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.