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

Jaquelyn Bliss, OT

Individual provider Occupational Therapist · NPI 1104429109

Jaquelyn Bliss, OT is an Occupational Therapist in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3311
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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 056013347 (IL)

Record details

NPI number1104429109
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESNovember 20, 2020
Certification dateNovember 19, 2020
Mailing address611 W. Park St., Fapc, Urbana, IL 61801

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