Individual provider Active NPI

Gregory Blanford, PT DPT

  • Physical Therapist
  • Hamburg, NY
National Provider Identifier
1053743054
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036591 Issued in NY
Practice address
4901 Camp Road Suite 300
Hamburg, NY 14075-2600
Phone
(716) 646-1100
Fax
(716) 646-1106
NPI assigned
Aug 1, 2013
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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 036591 NY Primary

Addresses

Primary practice location

4901 Camp Road Suite 300
Hamburg, NY 14075-2600

Mailing address

2100 Union Rd
West Seneca, NY 14224-1400
Phone (716) 656-8600

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
64
Promoting interoperability
100
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates PA CurrentSince Feb 21, 2023 Accepting new patients
Orthopedic Associates PA Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients

Locations

1800 E 30th St
Ste A
Farmington, NM 87401
Phone (505) 208-6280

2300 E 30th St
Bldg D-101
Farmington, NM 87401
Phone (505) 327-1400

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, 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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1053743054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241400",
            "telephone_number": "716-656-8600",
            "fax_number": "716-656-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CAMP ROAD SUITE 300",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752600",
            "telephone_number": "716-646-1100",
            "fax_number": "716-646-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANFORD",
        "first_name": "GREGORY",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.