Individual provider Active NPI

Kendall Blasi, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1154964237
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9538 Issued in AL
Practice address
4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633
Phone
(256) 883-1970
Fax
(256) 883-8061
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9538 AL Primary

Addresses

Primary practice location

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633

Mailing address

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633
Phone (256) 883-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sixfourthree, LLC Current Accepting new patients

Locations

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

97 Hughes Rd
Ste P
Madison, AL 35758
Phone (256) 678-9953

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.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1154964237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASI",
        "first_name": "KENDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.