Tina M Bledsoe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH2416 Issued in AL

Practice address

1711 N McKenzie St
Foley, AL 36535-2249

Phone

(877) 240-1775

Fax

(251) 929-4741

NPI assigned

Jul 26, 2006

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Encore Rehabilitation, Inc.

  dba Encore Coast Hand Therapy

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD
• Encore Rehabiliation Inc

  dba Encore Rehab of Moulton

  • Physical Therapy Clinic/Center
  • Moulton, AL
  • NPI 1700912052
  NPD (past)
• Encore Rehabiliation Inc

  dba Encore Rehab of Decatur

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1841325891
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Mobile TC

  • Physical Therapy Clinic/Center
  • Theodore, AL
  • NPI 1043346380
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Muscle Shoals

  • Physical Therapy Clinic/Center
  • Muscle Shoals, AL
  • NPI 1063548345
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Fairfield

  • Physical Therapy Clinic/Center
  • Birmingham, AL
  • NPI 1063881464
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Gulf Shores

  • Physical Therapy Clinic/Center
  • Gulf Shores, AL
  • NPI 1073648036
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab on 59 Eva Road

  • Physical Therapy Clinic/Center
  • Somerville, AL
  • NPI 1174997514
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Orange Beach

  • Physical Therapy Clinic/Center
  • Orange Beach, AL
  • NPI 1316073679
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of McIntosh

  • Physical Therapy Clinic/Center
  • McIntosh, AL
  • NPI 1316113087
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Russellville

  • Physical Therapy Clinic/Center
  • Russellville, AL
  • NPI 1356477624
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1073536231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352249",
            "telephone_number": "877-240-1775",
            "fax_number": "251-929-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DB9027",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Big Wave Dentistry LLC
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care Foley)
• BJS Wholesale Club Inc
• Michael Blackmer, DO
• Logan Blake
• Bodalia Rehab Services, Inc (rehab in motion)
• Tiffany N Bodree, PTA
• Ashley Booth, CRNP, ACNPC-AG, CCRN
• Patrick L Bosarge, MD
• Monica Reina Boudreaux, AU.D.

• Physical Therapist in Foley, AL
• Providers in Foley, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.