Blair J Packard II, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0561 Issued in AZ

Practice address

217 S 63Rd St
Ste 101
Mesa, AZ 85206-1611

Phone

(480) 981-0900

Fax

(480) 981-0897

NPI assigned

Jun 1, 2006

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Physical Therapy and Aquatic Rehabilitation LTDGroup PAC ID 8628966629, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.18 of 100Reported as group

Quality

80

Improvement activities

40

Cost

70.6

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• East Valley Physical Therapy & Aquatic Rehabilitation LTD

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1912095936

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295772176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061611",
            "telephone_number": "480-981-0900",
            "fax_number": "480-981-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061611",
            "telephone_number": "480-981-0900",
            "fax_number": "480-981-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "BLAIR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "0561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Venita Pacheco
• Michael A Pachtman, M.D.
• Pacific Behavioral Center Inc
• Pacific Developmental Abilities, LLC
• Jesse Lauren Pack, FNP-C
• Kendal Packer
• Nina Padilla-Hurst
• Brionna Padilla
• Nayely Padilla, MSW
• Stacy Padilla, PHARMD

• Physical Medicine & Rehabilitation Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.