ANDREA BLAKE OTR
NPI 1669088100
Occupational Therapist in Wilton, CT
About Andrea Blake Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA BLAKE OTR (NPI 1669088100) is an individual occupational therapist in Wilton, Connecticut, licensed in Connecticut (5513) and active in the NPI registry since September 2020. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrea Blake Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrea Blake's NPI number?
The NPI number for Andrea Blake is 1669088100. It was assigned to this individual provider in the NPPES registry on September 21, 2020.
Where is Andrea Blake located?
Andrea Blake practices at 17 Woodchuck Ln, Wilton, CT 06897. The listed phone number is (347) 604-4574.
What is Andrea Blake's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Andrea Blake enrolled in Medicare?
Yes. Andrea Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andrea Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Blake reassigns Medicare benefits to Prestige Rehab Ct PLLC (Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Blake was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.