Elizabeth Rose Blakeley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3217 Issued in MD

Practice address

2021A Emmorton Rd
Bel Air, MD 21015-8962

Phone

(410) 515-0006

Fax

(410) 515-0027

NPI assigned

Oct 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235174400000",
    "number": "1093994840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 AIRDRIE AVE",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092421",
            "telephone_number": "410-671-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021A EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158962",
            "telephone_number": "410-515-0006",
            "fax_number": "410-515-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELEY",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nika Sophia Bitsko, FNP-BC
• Gregory J Bittle, MD
• Andre Biuckians, M.D.
• Kristine Nell Bizzarro, PA-C
• Lori Ann Blake, RN, BC, FNP
• Aisha Sara-Ann Marie Bloomfield, MSW, LCSW
• Geoffrey Lowell Bloomfield, M.D.
• BLS Diagnostics, LLC
• Blue Bird Counseling LLC
• Blue Sky Dental Care

• Physical Therapy Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; 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.