Adam Blaha

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2622 South 66TH Street
Milwaukee, WI 53219

Phone

(920) 323-0393

NPI assigned

Jun 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174052344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 S 66TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532192647",
            "telephone_number": "920-323-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 SOUTH 66TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53219",
            "telephone_number": "920-323-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Blackwelder, PH. D.
• Katherine Elizabeth Blackwell
• Blackwell, LLC (Blackwell Family Services, LLC)
• Lisa Marie Blaeser, LCSW
• Irina A Blagoeva, NP
• Maureen T Blaha, APNP
• Katelyn Blair, MSW, CAPSW
• Sarah Blair, D.D.S.
• Blake Dialysis LLC (Capitol Court Dialysis)
• Francillya Blake

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.