KELLY JAMES BLAKE OTR
NPI 1396223129
Occupational Therapist in Waterford, MI

Active since August 02, 2018
1901 N TELEGRAPH RD, WATERFORD, MI 48328(248) 836-1000 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly James Blake Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JAMES BLAKE OTR (NPI 1396223129) is an individual occupational therapist in Waterford, Michigan, licensed in Michigan (5201004341) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1396223129
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameKELLY JAMES BLAKECredential: OTR
Location Address1901 N TELEGRAPH RDWaterford, MI 48328-1878
Mailing Address3257 Whitfield CtWaterford, MI 48329-2769 · (248) 330-1770
Sole ProprietorNo
Enumeration DateAugust 2, 2018
NPI 1396223129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MI · 5201004341
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

1901 N TELEGRAPH RD, Waterford, MI 48328

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Physical Therapist
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Clinic/Center (Physical Therapy)
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Physical Therapist
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Occupational Therapist
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Occupational Therapist
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Physical Therapy Assistant
1901 N TELEGRAPH RD
WATERFORD, MI 48328
Physical Therapy Assistant
1901 N TELEGRAPH RD
WATERFORD, MI 48328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396223129, enumerated as an "individual" on August 02, 2018.

The provider is located at 1901 N TELEGRAPH RD WATERFORD, MI 48328 and the phone number is (248) 836-1000.

Occupational Therapist with taxonomy code 225X00000X.