Kelly Flower Blandy, M.S.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC008418 Issued in PA

Practice address

59 Stoney Bank Rd
Glen Mills, PA 19342-1711

Phone

(610) 459-3094

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871613323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STONEY BANK RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421711",
            "telephone_number": "610-459-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 STONEY BANK RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421711",
            "telephone_number": "610-459-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDY",
        "first_name": "KELLY",
        "middle_name": "FLOWER",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC008418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Anthony Bogan, MA
• Rebecca Bogash
• Theresa Rose Bolner

• Pediatric Occupational Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.