Jackie Blankenship, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2839 SW 87TH Dr Ste 10
Gainesville, FL 32608-9376

Phone

(352) 505-6665

Fax

(352) 226-8744

NPI assigned

Jun 19, 2023

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Kinetix Physical Therapy P a

  • Physical Therapist
  • Gainesville, FL
  • NPI 1134273048

  FL, Physical Therapist

  Medicare reassignment NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452

  FL

  Medicare reassignment NPD
• Revision Health Services, PLLC

  • Physical Therapy Clinic/Center
  • Ponte Vedra, FL
  • NPI 1659994911

  Physical Therapist

  NPD
• University of Florida Jacksonville Physicians Inc

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1558521823
  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1104085752
  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1174208151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JACKIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erienne Murphy Blanchard, PT, DPT, OCS
• Rebecca Blanchard
• Raquel Blanco, DMD
• Abby Bland
• Duane Matthew Blandford, D.M.D.
• Lindsey Blanset
• Garrett Jason Blanton
• Mark Louis Blas, M.D.
• Paul K. Blaser, D.D.S.
• Victoria Yvonne Blass

• All providers in Gainesville, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.