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

Mr. Blake A Douglas, OTR/L

Individual provider Occupational Therapist · NPI 1477416949

Mr. Blake A Douglas, OTR/L is an Occupational Therapist in Private Practice in Naperville, Illinois. Qualified in 2024, 2 years ago. Practices with Athletic and Therapeutic Institute of Naperville, LLC, a 252-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1212 S Naper Blvd Ste 104
Naperville, IL 60540-8398
Phone: (630) 369-2340
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1477416949
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Athletic And Therapeutic Institute Of Naperville, Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Naperville