MR. WILLIAM RUSSELL BLAYLOCK (OTR) – Occupational Therapist, NPI 1104903020

MR. WILLIAM RUSSELL BLAYLOCK (OTR) is a healthcare provider. based in Carrollton, Texas. specializing in Occupational Therapist. They hold the professional credentials OTR. They hold a License No. 103091 (TX). The NPI Number for MR. WILLIAM RUSSELL BLAYLOCK (OTR) is 1104903020

Main info

Male
Name
MR. WILLIAM RUSSELL BLAYLOCK (OTR)
NPI
1104903020
Phone
(972) 492-0383
Address
1912 E HEBRON PKWY
Enumeration Date
1 November 2006
Last Update Date
29 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. WILLIAM RUSSELL BLAYLOCK (OTR)

  • East Hebron Parkway, Hebron, Carrollton, Denton County, Texas, 75187, United States

    #104

    CARROLLTON, TX 75007

    Phone: (972) 492-0383

    Fax: (972) 492-2074

    Type: Location

  • 1803, Peach Tree Court, Allen, Collin County, Texas, 75002, United States

    ALLEN, TX 75002

    Phone: (972) 492-0383

    Fax: (972) 492-2074

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 75007)

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Reviews

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Frequently asked questions

How do payers reference MR. WILLIAM RUSSELL BLAYLOCK (OTR)?
For MR. WILLIAM RUSSELL BLAYLOCK (OTR), use NPI 1104903020 as the unique 10-digit identifier.
Would MR. WILLIAM RUSSELL BLAYLOCK (OTR) appear as active to a payer?
You can treat MR. WILLIAM RUSSELL BLAYLOCK (OTR) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. WILLIAM RUSSELL BLAYLOCK (OTR)?
MR. WILLIAM RUSSELL BLAYLOCK (OTR)'s record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Texas is MR. WILLIAM RUSSELL BLAYLOCK (OTR) registered?
Use Carrollton, Texas as the headline location for MR. WILLIAM RUSSELL BLAYLOCK (OTR) here.
Can I trust this NPI listing for MR. WILLIAM RUSSELL BLAYLOCK (OTR)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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