Jeremiah Blaser, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16127-024 Issued in WI

Practice address

1686 Henry Luckow LN
Belvidere, IL 61008-1705

Phone

(815) 547-4777

Fax

(815) 547-1024

NPI assigned

Aug 14, 2017

Last updated

Feb 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MO, SC3 enrollments

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 27)

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.

• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Burlington

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  Medicare reassignment NPD
• Arnold Physical Therapy & Sports Medicine LLC

  • Rehabilitation Clinic/Center
  • Arnold, MO
  • NPI 1639400179
  Medicare reassignment NPD
• Cora South Carolina LLC

  dba CORA Physical Therapy - Bluffton

  • Physical Therapy Clinic/Center
  • Bluffton, SC
  • NPI 1164923355
  Medicare reassignment NPD
• Physical Therapy Spine & Sports Medicine LLC

  dba CORA Physical Therapy - Ballwin

  • Rehabilitation Clinic/Center
  • Ballwin, MO
  • NPI 1942524087
  Medicare reassignment NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Paddock Lake

  • Rehabilitation Clinic/Center
  • Salem, WI
  • NPI 1104497023
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Hayward

  • Rehabilitation Clinic/Center
  • Hayward, WI
  • NPI 1902556012
  NPD
• Arnold Physical Therapy & Sports Medicine LLC

  dba CORA Physical Therapy - Brentwood

  • Rehabilitation Clinic/Center
  • Saint Louis, MO
  • NPI 1265073845
  NPD
• Cora South Carolina LLC

  dba Cora Physical Therapy-Indian Land

  • Rehabilitation Clinic/Center
  • Fort Mill, SC
  • NPI 1356125207
  NPD
• Cora South Carolina LLC

  dba CORA Physical Therapy - Rock Hill

  • Rehabilitation Clinic/Center
  • Rock Hill, SC
  • NPI 1831828029
  NPD
• Physical Therapy Spine & Sports Medicine LLC

  dba CORA Physical Therapy - St. Peters

  • Rehabilitation Clinic/Center
  • Saint Peters, MO
  • NPI 1194454090
  NPD
• Dynamic Physical Therapy

  dba Body Gears - Oak Brook

  • Rehabilitation Clinic/Center
  • Oak Brook, IL
  • NPI 1457609620
  NPD (past)
• Dynamic Physical Therapy, Inc.

  dba Body Gears - Oak Park

  • Rehabilitation Clinic/Center
  • Oak Park, IL
  • NPI 1316419278
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1023533825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 HENRY LUCKOW LN",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081705",
            "telephone_number": "815-547-4777",
            "fax_number": "815-547-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 HENRY LUCKOW LN",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081705",
            "telephone_number": "815-547-4777",
            "fax_number": "815-547-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASER",
        "first_name": "JEREMIAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "TPPT570",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP027048T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP027051T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP027050T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP031411T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023017",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP027049T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16127-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP042984T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belvidere Rehab & Sports Medicine
• Nicole Bennett, LCSW
• Whitney Anne Bennett, PHARMD
• Lora Ethelyn Bertell, PHARMD
• Alfredo Daniel Bizzocchi
• Board of Trustees of the University of Illinois (University Primary Care Clinic at Belvidere)
• Boone County Council on Aging
• Boone County Council on Aging
• Boone County Rural Fire Protection District Number Two
• Boone County Special Ed Coop

• Physical Therapist in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.