LINDSEY BLANK (OTD, OTR/L) – Occupational Therapist, NPI 1104718394

LINDSEY BLANK (OTD, OTR/L) is a healthcare provider. based in Norfolk, Nebraska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD, OTR/L. They hold a License No. 3025 (NE). The NPI Number for LINDSEY BLANK (OTD, OTR/L) is 1104718394

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LINDSEY BLANK (OTD, OTR/L)
NPI
1104718394
Phone
(402) 371-9026
Address
3901 W NORFOLK AVE STE P
Enumeration Date
21 July 2025
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3082365884
Graduation Year
2025 (1 year ago)
PAC ID
4587169313
Group Practice PAC ID
7214970177
Professional Enrollment ID
I20250923004488
Address ID
NE688453485KE211XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

230 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for LINDSEY BLANK (OTD, OTR/L)

  • 3901 W NORFOLK AVE STE P

    NORFOLK, NE 687019501

    Phone: (402) 371-9026

    Fax: (402) 371-0807

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250923004488IOccupational Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 68701)

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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: 7214970177View full group profile
NameSpecialtyState
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
-NE
-NE
Physical Therapist In Private PracticeNE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Can I cross-check LINDSEY BLANK (OTD, OTR/L) using NPI 1104718394?
NPI 1104718394 belongs to LINDSEY BLANK (OTD, OTR/L); compare other details if you need extra assurance.
Would LINDSEY BLANK (OTD, OTR/L) appear as active to a payer?
You can treat LINDSEY BLANK (OTD, OTR/L) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe LINDSEY BLANK (OTD, OTR/L)'s focus?
For LINDSEY BLANK (OTD, OTR/L), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with LINDSEY BLANK (OTD, OTR/L)?
Directory geography for LINDSEY BLANK (OTD, OTR/L) centers on Norfolk, Nebraska.
Does LINDSEY BLANK (OTD, OTR/L) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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