Individual provider Active NPI

Anthony M Blair, OTR/L

  • Physical Medicine & Rehabilitation Physician
  • Palm Springs, CA
National Provider Identifier
1235963562
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
26824 Issued in CA
Practice address
2875 N Los Felices Rd Unit 108
Palm Springs, CA 92262-0641
Phone
(973) 803-9158
NPI assigned
Aug 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 26824 CA Primary

Addresses

Primary practice location

2875 N Los Felices Rd Unit 108
Palm Springs, CA 92262-0641

Mailing address

2875 N Los Felices Rd Unit 108
Palm Springs, CA 92262-0641
Phone (973) 803-9158

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

State licenses

LicenseStateTypeSpecialty
26824CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H.D.P.R.G., Inc CurrentSince Sep 9, 2024 Accepting new patients

Locations

5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743

56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1235963562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 N LOS FELICES RD UNIT 108",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922620641",
            "telephone_number": "973-803-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 N LOS FELICES RD UNIT 108",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922620641",
            "telephone_number": "973-803-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "26824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.