Active NPI
Mary Beth Blend, MS, PT, OCS
- Physical Therapist
- Richmond, VA
National Provider Identifier
1205898061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204112
- Practice address
- 1700 Willow Lawn Drive
Suite 230
Richmond, VA 23230-3003 - Phone
- (804) 340-1193
- Fax
- (804) 340-1930
- NPI assigned
- Apr 5, 2006
- Last updated
- May 6, 2016
- 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 | 2305204112 | VA | Primary |
Addresses
Primary practice location
1700 Willow Lawn Drive
Suite 230
Richmond, VA 23230-3003
Mailing address
1700 Willow Lawn Drive
Suite 230
Richmond, VA 23230-3003
Phone (804) 340-1193
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7026532 | Other | AETNA | |
| 010140412 | Medicaid | VA | |
| 192935 | Other | VA | BCBS PHYSICAL THERAPY |
| P00271177 | Other | VA | RAILROAD MEDICARE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6909 | CO | MD | Chiropractor |
| 2305204112 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Therapy & Sports Medicine, PC | Physical Therapist | Current | Accepting new patients |
| Performax Front Range Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Ashland Physical Therapy Associates Inc | Physical Therapist | Past | Accepting new patients |
| Joseph J Teixeira RPT PC | Physical Therapist | Past | Accepting new patients |
Locations
3920 Springfield Rd
Glen Allen, VA 23060
Phone (804) 747-7472
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Glen Allen, VA
- NPI 1851484448
-
- Physical Therapist
- Ashland, VA
- NPI 1255300190
-
dba Performax Physical Therapy
- Physical Therapist
- Littleton, CO
- NPI 1790847267
-
- Physical Therapist
- Denver, CO
- NPI 1093877565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1205898061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WILLOW LAWN DRIVE",
"address_2": "SUITE 230",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303003",
"telephone_number": "804-340-1193",
"fax_number": "804-340-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WILLOW LAWN DRIVE",
"address_2": "SUITE 230",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303003",
"telephone_number": "804-340-1193",
"fax_number": "804-340-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEND",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "MS, PT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7026532",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010140412",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PHYSICAL THERAPY",
"identifier": "192935",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00271177",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.