Blasenko Simunovic, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT12805 Issued in CA

Practice address

7033 N Fresno St
Fresno, CA 93720-2976

Phone

(559) 438-4300

Fax

(559) 438-4339

NPI assigned

Sep 21, 2006

Last updated

Nov 8, 2017By the provider in NPPES

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phys Med a Physical Therapy CorporationGroup PAC ID 7214190768, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.95 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.5

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.

• Phys Med a Physical Therapy Corporation

  • Physical Therapist
  • Fresno, CA
  • NPI 1699728188

  Orthopedic

  Medicare reassignment Care Compare group NPD Authorized official
• Phys Med Inc.

  • Physical Therapist
  • Kerman, CA
  • NPI 1649681552
  Authorized official Same address or phone
• Phys Med Inc.

  • Physical Therapist
  • Firebaugh, CA
  • NPI 1881005742
  Authorized official Same address or phone
• Optimal Rehab Physical Therapy Inc.

  dba Optimal Rehab Physical Therapy

  • Orthopedic Physical Therapist
  • Fresno, CA
  • NPI 1942211669
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1144329053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202976",
            "telephone_number": "559-438-4300",
            "fax_number": "559-438-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202976",
            "telephone_number": "559-438-4300",
            "fax_number": "559-438-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMUNOVIC",
        "first_name": "BLASENKO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT12805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Justin Simpson
• Jamie Dale Sims Smith, LVN
• Kristen Sims
• Stephani Sage Sims
• Vesoleya Bella Sims
• Davor Simunovic
• Sovanna Sin
• Amber Rubina Gazipura Siner
• Nicole Yvette Sinerchio
• Dante Garien Singer-Goodell

• Orthopedic Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.