SHERRY LEE BLAKE OTR
NPI 1780881326
Specialist in Roseland, FL

Q: What is Sherry Blake's NPI number?

The NPI number for Sherry Blake is 1780881326. It was assigned to this individual provider in the NPPES registry on June 28, 2007. The provider is also known as Sherry Lee Howard Otr.

Q: What is Sherry Blake's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sherry Blake was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 28, 2007

12840 83RD AVE, ROSELAND, FL 32957(772) 532-0853(772) 571-6190 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sherry Lee Blake Otr NPPES

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

SHERRY LEE BLAKE OTR (NPI 1780881326) is an individual specialist in Roseland, Florida, licensed in Florida (OT 2648) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1780881326

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSHERRY LEE BLAKECredential: OTR

Location Address12840 83RD AVERoseland, FL 32957

Mailing AddressPo Box 1175Roseland, FL 32957-1175 · (772) 532-0853 · Fax (772) 571-6190

Phone(772) 532-0853

Fax(772) 571-6190

Sole ProprietorYes

Enumeration DateJune 28, 2007

Last NPPES UpdateNovember 30, 2012

✔ NPI 1780881326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · OT 2648

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12840 83RD AVE, Roseland, FL 32957

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Other Names 1

Former Name (1)Sherry Lee Howard Otr

Other Identifiers 2

Medicaid006673400FL

Medicare PINGQ418AFL

Other Providers at the Same Location NPPES

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

FUNCTIONAL IMPROVEMENTS THERAPY

Specialist

12840 83RD AVE
ROSELAND, FL 32957

Indian River County (772) 532-0833

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 Sherry Blake's NPI number?

The NPI number for Sherry Blake is 1780881326. It was assigned to this individual provider in the NPPES registry on June 28, 2007. The provider is also known as Sherry Lee Howard Otr.

Where is Sherry Blake located?

Sherry Blake practices at 12840 83rd Ave, Roseland, FL 32957. The listed phone number is (772) 532-0853.

What is Sherry Blake's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sherry Blake was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.