KRISTINA N BLAKE (OTR/L) – Occupational Therapist, NPI 1861764144

KRISTINA N BLAKE (OTR/L) is a healthcare provider. based in Clermont, Florida. specializing in Occupational Therapist. They hold the professional credentials OTR/L. They hold a License No. OT15041 (FL). The NPI Number for KRISTINA N BLAKE (OTR/L) is 1861764144

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA N BLAKE (OTR/L)
NPI
1861764144
Phone
(352) 394-0212
Address
2400 S HIGHWAY 27 STE B201
Enumeration Date
2 February 2012
Last Update Date
14 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523940212
Graduation Year
2011 (15 years ago)
PAC ID
5890120638
Group Practice PAC ID
0840520193
Professional Enrollment ID
I20200124000245
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KRISTINA N BLAKE (OTR/L)

  • 2400 S HIGHWAY 27 STE B201

    CLERMONT, FL 347116816

    Phone: (352) 394-0212

    Fax: (352) 241-6361

    Type: Location

  • PO BOX 120547

    CLERMONT, FL 347120547

    Phone: (352) 394-0212

    Fax: (352) 241-6361

    Type: Mailing

  • 1000 COLOR PL STE 101

    APOPKA, FL 327037717

    Phone: (352) 394-0212

    Fax: (352) 241-6361

    Type: Mailing

  • 2400 S Highway 27 Ste B201

    Clermont, FL 347116816

    Phone: (352) 394-0212

    Fax: (352) 241-6361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840520193View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
Occupational Therapist In Private PracticeFL
-FL
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNY
Qualified Speech Language PathologistFL

Reviews

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Frequently asked questions

What federal number belongs to KRISTINA N BLAKE (OTR/L)?
The federal identifier for KRISTINA N BLAKE (OTR/L) is NPI 1861764144.
Is KRISTINA N BLAKE (OTR/L) active in the national directory?
KRISTINA N BLAKE (OTR/L)'s public NPI profile is in an active state.
Can you summarize KRISTINA N BLAKE (OTR/L)'s specialty in plain language?
Clinically, the directory lists KRISTINA N BLAKE (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for KRISTINA N BLAKE (OTR/L)?
We surface Clermont, Florida for KRISTINA N BLAKE (OTR/L) based on available NPPES addresses.
Is KRISTINA N BLAKE (OTR/L) a real provider?
This page reflects official NPPES data for NPI 1861764144. Always confirm identity and privileges with the practice and licensing boards.

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