Organization Active NPI

Fce-PPD Center

Doing business as Blankenship FCE-PPD Center

  • Orthopedic Physical Therapist
  • Macon, GA
National Provider Identifier
1235371295
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT001629 Issued in GA
Legal business name
FCE-PPD CENTER
Doing business as
Blankenship FCE-PPD Center
Practice address
3040 Riverside Dr
Suite C-5
Macon, GA 31210-2521
Phone
(478) 475-9393
Fax
(478) 475-9353
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Lisa S Blankenship, CWCP
Title
Director of Business Ops
Phone
(478) 475-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT001629 GA Primary

Addresses

Primary practice location

3040 Riverside Dr
Suite C-5
Macon, GA 31210-2521

Mailing address

3040 Riverside Dr
Suite C-5
Macon, GA 31210-2521
Phone (478) 475-9393

Other names 1

  • Blankenship FCE-PPD Center Doing business as

National Provider Directory

National Provider Directory

Locations

3040 Riverside Dr
Ste C5
Macon, GA 31210
Phone (478) 475-9393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1235371295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR",
            "address_2": "SUITE C-5",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102521",
            "telephone_number": "478-475-9393",
            "fax_number": "478-475-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR",
            "address_2": "SUITE C-5",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102521",
            "telephone_number": "478-475-9393",
            "fax_number": "478-475-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCE-PPD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "478-475-9393",
        "authorized_official_credential": "CWCP"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT001629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blankenship FCE-PPD Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.