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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Avery Lauren Blackburn, COTA/L

Occupational Therapy Assistant in Midwest City, OK · enumerated 2021 · practices at Visionary Realm Optometry Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235728866

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Registry record

Entity type Individual (Type 1)
Name Mrs. Avery Lauren Blackburn
Credential COTA/L
Sex Female
Practice address Midwest City, OK, 73130
Enumeration date Jan 18, 2021
Last updated in NPPES Jan 18, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2034 (OK) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Avery Blackburn?
Avery Blackburn is registered in NPPES with the primary taxonomy of Occupational Therapy Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-18.