Active NPI
Kristine Kapicak Blanco, P.T.
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1184748857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2830
- Practice address
- 1250 Arbor Rd
Winston Salem, NC 27104-1106 - Phone
- (336) 724-7921
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2830 | NC | Primary |
Addresses
Primary practice location
1250 Arbor Rd
Winston Salem, NC 27104-1106
Mailing address
730 Sylvan Rd
Winston Salem, NC 27104-2124
Phone (336) 724-0826
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2830 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184748857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 SYLVAN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271042124",
"telephone_number": "336-724-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 ARBOR RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041106",
"telephone_number": "336-724-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "KRISTINE",
"middle_name": "KAPICAK",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.