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

Mary Blackley

Individual provider Pediatric Occupational Therapist · NPI 1053077065

Mary Blackley is a Pediatric Occupational Therapist in Kenmore, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone: (716) 874-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X (NY)

Record details

NPI number1053077065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2021
Last updated in NPPESNovember 14, 2021
Certification dateNovember 14, 2021
Mailing address3767 Delaware Ave, Kenmore, NY 14217-1040

Other providers in Kenmore