Brenden M Blaschke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6846 Issued in SC

Practice address

1413 Highway 17 N
Suite a
Surfside Beach, SC 29575-6012

Phone

(843) 238-9542

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By 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 SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 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.

• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Fort Mill, SC
  • NPI 1518341981

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Conway, SC
  • NPI 1487616504
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1144570425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 HIGHWAY 17 N",
            "address_2": "SUITE A",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756012",
            "telephone_number": "843-238-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 HIGHWAY 17 N",
            "address_2": "SUITE A",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756012",
            "telephone_number": "843-238-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCHKE",
        "first_name": "BRENDEN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchored Mind Therapy
• Ars Holdings, LLC (Rx Diabetic Supply)
• Jennifer T Aveson, RPH
• Neda Azadivatan-Le, D.D.S.
• Catherine K Betancourt, PT
• Gary Bodofsky, O.D.
• Karey Boise
• Chad William Bone, D.C.
• Hope Bowhay
• Colleen Bradley

• Physical Therapist in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.