Individual provider Active NPI

Christopher SC Blaisdell, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Hialeah, FL
National Provider Identifier
1013212331
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS22496 Issued in FL
Practice address
1435 W 49TH PL
Hialeah, FL 33012-3197
Phone
(305) 558-2500
NPI assigned
Jan 18, 2011
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS22496 FL Primary

Addresses

Primary practice location

1435 W 49TH PL
Hialeah, FL 33012-3197

Mailing address

1435 W 49TH PL
Hialeah, FL 33012-3197
Phone (305) 558-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210004554 FL Practitioner - Osteopathic Manipulative Medicine 0840467437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karachikitsa Medical PLLCGroup PAC ID 0941725428, 3 clinicians
Revitalize Health Center LLCGroup PAC ID 1052800299, 5 clinicians

Practice addresses (Care Compare)

4531 NW Glazbrook St
Port Saint Lucie, FL 34983-1338
Phone (561) 632-2242

5285 Summerlin Rd
Suite 101
Fort Myers, FL 33919-7601
Phone (239) 291-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5139OKMDGeneral Practice Dentistry
OS22496FLMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Medical Center Inc CurrentSince Jan 25, 2026 Accepting new patients
Karachikitsa Medical PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Feb 1, 2026 Accepting new patients
Chiro Worx Injury Center Inc CurrentSince Jan 25, 2026 Accepting new patients

Locations

6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1013212331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-558-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-558-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISDELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "SC",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS22496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.