Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Blake, OTR

Individual provider Occupational Therapist · NPI 1669088100

Andrea Blake, OTR is an Occupational Therapist in Private Practice in Wilton, Connecticut. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

17 Woodchuck Ln
Wilton, CT 06897-3427
Phone: (347) 604-4574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5513 (CT)

Record details

NPI number1669088100
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 18, 2020
Mailing address17 Woodchuck Ln, Wilton, CT 06897-3427

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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