Active NPI
Kendal Blaser, L.P.T.
- Physical Therapist
- Warrenton, VA
National Provider Identifier
1093805459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002688
- Practice address
- 40 North Hill Drive
Warrenton, VA 20186 - Phone
- (540) 341-1922
- Fax
- (540) 341-1923
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305002688 | VA | Primary |
Addresses
Primary practice location
40 North Hill Drive
Warrenton, VA 20186
Mailing address
40 North Hill Drive
Warrenton, VA 20186
Phone (540) 341-1922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194042 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110223000271 | VA | Practitioner - Physical Therapist in Private Practice | 4981645728 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 N Hill Dr
Warrenton, VA 20186-2610
Phone (540) 341-1922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blaser Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
40 N Hill Dr
Warrenton, VA 20186
Phone (540) 341-1922
Organizations & group practices 1
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.
-
- Physical Therapist
- Warrenton, VA
- NPI 1205895711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1093805459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NORTH HILL DRIVE",
"city": "WARRENTON",
"state": "VA",
"postal_code": "20186",
"telephone_number": "540-341-1922",
"fax_number": "540-341-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 NORTH HILL DRIVE",
"city": "WARRENTON",
"state": "VA",
"postal_code": "20186",
"telephone_number": "540-341-1922",
"fax_number": "540-341-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASER",
"first_name": "KENDAL",
"credential": "L.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305002688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "194042",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.