Individual provider Active NPI

Mary Beth Blend, MS, PT, OCS

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1205898061
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204112 Issued in VA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7026532OtherAETNA
010140412MedicaidVA
192935OtherVABCBS PHYSICAL THERAPY
P00271177OtherVARAILROAD 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

LicenseStateTypeSpecialty
6909COMDChiropractor
2305204112VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Physical Therapy & Sports Medicine, PC Physical Therapist CurrentSince Aug 1, 2011 Accepting new patients
Performax Front Range Physical Therapy LLC Physical Therapist Past Accepting new patients
Ashland Physical Therapy Associates Inc Physical Therapist PastSince Nov 30, 2015 Accepting new patients
Joseph J Teixeira RPT PC Physical Therapist PastSince May 1, 2002 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.

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.

Verify at the official NPI Registry.