Christopher Ryan Blankenberg, P.T.

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

020137-1 Issued in NY

Practice address

4901 Lac Deville Blvd
Suite 110, Building D
Rochester, NY 14618

Phone

(585) 341-9150

NPI assigned

Dec 24, 2007

Last updated

Dec 24, 2007By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1245414408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LAC DEVILLE BLVD",
            "address_2": "SUITE 110, BUILDING D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-341-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LAC DEVILLE BLVD",
            "address_2": "SUITE 110, BUILDING D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-341-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENBERG",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "020137-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Blanda, D.P.T
• Christie Blanda, CASAC
• Eddie Blanding Jr., LMSW
• Quentara Blanding, LPN
• Jared Blank, MS PT
• Crissa Carolyn Blankenberg, LPN
• Blankenheim Occupational Therapy
• Paul Joseph Blasio, M.D.
• Anthony Blaskovic
• Sabrina Rose Blaskovic

• Sports Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.