Active NPI
Mark D Blazek, DPT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7901
- Practice address
- 3250 Harden Street Ext
Suite 100
Columbia, SC 29203-6842 - Phone
- (803) 509-6389
- Fax
- (803) 509-6390
- NPI assigned
- Aug 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7901 | SC | Primary |
Addresses
Primary practice location
3250 Harden Street Ext
Suite 100
Columbia, SC 29203-6842
Mailing address
10 William Pope Dr
Suite 3
Bluffton, SC 29909-7549
Phone (843) 705-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1525 Chapin Rd
Chapin, SC 29036
Phone (803) 345-3811
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.19 of 100
- Quality
- 82.38
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7901 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Chapin Rehabilitation Clinic, Inc. | Current | Accepting new patients | |
| Chapin Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
10 William Pope Dr
Ste 3
Bluffton, SC 29909
Phone (843) 705-9440
3250 Harden Street Ext
Ste 100
Columbia, SC 29203
Phone (803) 509-6389
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Chapin, SC
- NPI 1033128160
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
- Physical Therapist
- Cayce, SC
- NPI 1932744323
-
- Physical Medicine & Rehabilitation Physician
- Chapin, SC
- NPI 1861929473
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1306222534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLIAM POPE DR",
"address_2": "SUITE 3",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097549",
"telephone_number": "843-705-9440",
"fax_number": "843-705-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 HARDEN STREET EXT",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036842",
"telephone_number": "803-509-6389",
"fax_number": "803-509-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZEK",
"first_name": "MARK",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.