Tia Blythe, DPT, OCS, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43084 Issued in CA

Practice address

Naval Hospital Camp Pendleton
200 Mercy Circle
Oceanside, CA 92055

Phone

(760) 719-3382

NPI assigned

Dec 16, 2015

Last updated

Dec 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1174988224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 ROSECRANS ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104831",
            "telephone_number": "619-223-7175",
            "fax_number": "619-223-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL CAMP PENDLETON",
            "address_2": "200 MERCY CIRCLE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "TIA",
        "credential": "DPT, OCS, SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Blecha, BSN, RN, PHN
• Loretta Simone Blevins, LPCC
• Hannah Rae Block, CMT
• Maryann Bloemsma-Morris, LVN
• Jonathan Blue, DPT
• Brian S Bobick, D.P.M.
• Bonnie Ruth Bobzien, M.D.
• Debra Bochinski, LM, CPM
• Bradley Cobb Bockhorst, DMD
• Kendall Marie Bodine, PT, DPT

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.