Individual provider Active NPI

Allyson Blackstone, PT, DPT

  • Physical Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1023683752
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300233 Issued in CA
Practice address
31441 Avenida de la Vis
San Juan Capistrano, CA 92675-2401
Phone
(949) 312-7227
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300233 CA Primary

Addresses

Primary practice location

31441 Avenida de la Vis
San Juan Capistrano, CA 92675-2401

Mailing address

33936 Malaga Dr
Dana Point, CA 92629-2455
Phone (831) 334-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300233CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Surf and Turf Therapy CurrentSince Jun 22, 2021 Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Locations

31441 Avenida de la Vista
San Juan Capistrano, CA 92675
Phone (949) 312-7227

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1023683752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33936 MALAGA DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292455",
            "telephone_number": "831-334-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31441 AVENIDA DE LA VIS",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752401",
            "telephone_number": "949-312-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "ALLYSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.