Andrea Blaisdell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206363 Issued in VA

Practice address

935 S Main St
Farmville, VA 23901-2211

Phone

(434) 315-5362

Fax

(434) 315-5781

NPI assigned

Jul 7, 2015

Last updated

Jun 14, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centra Outpatient Rehabilitation Services LLCGroup PAC ID 4789909987, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.64 of 100Reported as group

Quality

87.16

Improvement activities

40

Cost

79.01

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centra Outpatient Rehabilitation Services LLC

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1871998120
  Medicare reassignment Care Compare group NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1215310412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S MAIN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012211",
            "telephone_number": "434-315-5362",
            "fax_number": "434-315-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S MAIN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012211",
            "telephone_number": "434-315-5362",
            "fax_number": "434-315-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISDELL",
        "first_name": "ANDREA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnel Bernabe, PT
• Bethany Carilli, D.C., Inc (Community Chiropractic)
• Ankit H Bhandari, MD
• Bio-Medical Applications of Virginia, Inc. (Bma Farmville)
• Lynn Carson Blackwood Jr., PH.D.
• Tabitha Lynn Blanton
• Rosemarie Bolden
• Vara P Bonagiri, MD
• Rain Armatha Borrelli, BCBA
• Melissa Anne Bowyer, LPTA

• Physical Therapist in Farmville, VA
• Providers in Farmville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.