BLONDINE JEAN-PACKARD (OT) – Occupational Therapist, NPI 1265969786
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
156 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in UT
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Provider Addresses for BLONDINE JEAN-PACKARD (OT)
4460, Highland Drive, Millcreek, Salt Lake County, Utah, 84124, United States
SALT LAKE CITY, UT 841243543
Phone: (561) 508-6122
Type: Mailing
3610, 1000 West, South Salt Lake, Salt Lake County, Utah, 84119, United States
South Salt Lake, UT 841197829
Phone: (801) 288-8400
Type: Location
9000 BURMA RD STE 109
PALM BEACH GARDENS, FL 334031606
Phone: (561) 508-6122
Type: Location
8050 SAG HARBOR CIR APT 301
CORDOVA, TN 380165997
Phone: (786) 468-5441
Type: Mailing
2100 EXETER RD
GERMANTOWN, TN 381383966
Phone: (901) 757-1350
Fax: (901) 757-3496
Type: Location
7710 NE GREENWOOD DR STE 150
VANCOUVER, WA 986627904
Phone: (360) 207-1554
Type: Mailing
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: 2025-05-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250528000768 | I | Occupational Therapist In Private Practice | WA | TBD |
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.
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 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | WA | |
| Occupational Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | TX | |
| Occupational Therapist In Private Practice | WA |
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