ANDREA BLAKE OTR
NPI 1669088100
Occupational Therapist in Wilton, CT

Active since September 21, 2020
17 WOODCHUCK LN, WILTON, CT 06897(347) 604-4574 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1669088100
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameANDREA BLAKECredential: OTR
Location Address17 WOODCHUCK LNWilton, CT 06897-3427
Mailing Address17 Woodchuck LnWilton, CT 06897-3427
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1669088100 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 CT · 5513
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.
17 WOODCHUCK LN, Wilton, CT 06897

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Blake Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163903303
PECOS Enrollment IDI20260225002543

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 enrollment system.

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 5 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.