Julie L Blandin, MPT, ATC, CSCS, PRC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204000 Issued in VA

Practice address

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614

Phone

(757) 416-6700

Fax

(757) 416-7777

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Ms. Julie L Anuszkiewicz Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Proactive HealthGroup PAC ID 6800179490, 5 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.

• Thrive Proactive Health

  • Sports Physical Therapist
  • Virginia Beach, VA
  • NPI 1710345293
  Medicare reassignment Care Compare group NPD Authorized official
• Atlantic Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
  • NPI 1841376746

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1124080551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD",
            "address_2": "#1272-182",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-416-6700",
            "fax_number": "757-416-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527614",
            "telephone_number": "757-416-6700",
            "fax_number": "757-416-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDIN",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT, ATC, CSCS, PRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7883577",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010125511",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL THERAPY",
            "identifier": "192933",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00175699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ANUSZKIEWICZ",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "PT, ATC, CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blanchard Dentistry, PLLC (A Division of Atlantic Dental Care, T/a Bay Colony Dentistry)
• Deborah Ryan Blanchard, D. D. S.
• Ameanthea Rica Blanco-Knezovich, DNP, FNP
• Mary M Bland, MD
• Rita Bland, MS,CCC-SLP
• Aiyana Blanding
• Leanna M Blankenship
• Sierra Lee Blankenship
• Stephen Blankenship
• Benjamin Patrick Blanks, MPAS, PA-C

• Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.