Organization Active NPI

Mitchell Blakney PT, PLLC

  • Orthopedic Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1235729187
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MITCHELL BLAKNEY PT, PLLC
Practice address
5202 Olympic Dr #100
Gig Harbor, WA 98335-8277
Phone
(253) 318-6665
NPI assigned
Jan 25, 2021
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Mr. Mitchell Guy Blakney, PTNPI 1104852227
Title
Physical Therapist
Phone
(253) 318-6665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

5202 Olympic Dr #100
Gig Harbor, WA 98335-8277

Mailing address

3716 44TH St CT
Gig Harbor, WA 98335-8277
Phone (253) 318-6665

National Provider Directory

National Provider Directory

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": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1235729187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 44TH ST CT",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358277",
            "telephone_number": "253-318-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 OLYMPIC DR #100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358277",
            "telephone_number": "253-318-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL BLAKNEY PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "BLAKNEY",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "253-318-6665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.