Kathleen Blankshain, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022565 Issued in IL

Practice address

1781 Saint Johns Ave
Highland Park, IL 60035-3532

Phone

(847) 452-4066

NPI assigned

May 10, 2016

Last updated

Nov 15, 2022By 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

Not listed in the public Medicare enrollment file

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.

• Outlier Physical Therapy, LLC

  dba Rally PT, LLC

  • Physical Therapist
  • Highland Park, IL
  • NPI 1720594484
  NPD Authorized official

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1215383146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 TUDOR LN UNIT 306",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623780",
            "telephone_number": "847-452-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353532",
            "telephone_number": "847-452-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5553 N Clark St Unit 101",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401244",
            "country_code": "US",
            "telephone_number": "847-452-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKSHAIN",
        "first_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella A Bicoff-Ray, LCSW
• Michael R Binder, M.D.
• Bite Wise Nutrition PLLC
• BKPT, Inc.
• Sheryl Blackman, OTR/L
• Arthur Harry Bloch, MD
• Steven Paul Bloch, MD
• Block and Pop Lactation (Lactation.com)
• Melissa Block, IBCLC LICENSE#156382
• Robert Block, MD

• Physical Therapist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.