Blue Crane Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUE CRANE PHYSICAL THERAPY LLC

Practice address

10209 123Rd St NW
Gig Harbor, WA 98329-6916

Phone

(408) 960-4443

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Walendowski, DPT

Title

Owner

Phone

(408) 960-4443

Specialties & licenses 1

Addresses

Other names 1

• BLUE CRANE PHYSICAL THERAPY & YOGA Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Fenner, DPT

  • Orthopedic Physical Therapist
  • Cupertino, CA
  • NPI 1467885814
  NPD

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1023622388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 123RD ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983296916",
            "telephone_number": "408-960-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 123RD ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983296916",
            "telephone_number": "408-960-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CRANE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "WALENDOWSKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-960-4443",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nppes@bluecranept.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text/plain",
            "address_1": "10209 123rd St NW",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983296916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BLUE CRANE PHYSICAL THERAPY & YOGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mitchell Guy Blakney, P.T.
• Brian Lloyd Bleau, M.D.
• Krystal Bliss, MSN, ARNP, FNP-BC
• Lisa A Block, D.M.D., M.S., P.C.
• Karla Marie Bloomquist, DDS
• Blue Moon Massage Studio, LLC
• Blue Speech Therapy, LLC
• Blue Waters Counseling, PLLC
• Stephanie Renee Blum, FNP
• David Blunk, LMP

• Physical Therapy Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.