Active NPI
Kendall Blasi, DPT
- Physical Therapist
- Huntsville, AL
National Provider Identifier
1154964237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Exclusive Provider Organization
- Huntsville, AL
- NPI 1396781209
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.