Organization Active NPI

Blankfield Rehab LTD

  • Physical Therapist
  • Grants, NM
National Provider Identifier
1306463559
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BLANKFIELD REHAB LTD
Practice address
582 Oso Ridge Rd
Grants, NM 87020-9404
Phone
(505) 570-3373
Fax
(505) 273-3182
NPI assigned
Jul 2, 2020
Last updated
Jul 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Cary Edgar
Title
Authorized Official
Phone
(480) 206-6240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

582 Oso Ridge Rd
Grants, NM 87020-9404

Mailing address

582 Oso Ridge Rd
Grants, NM 87020-9404
Phone (505) 570-3373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1306463559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 OSO RIDGE RD",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870209404",
            "telephone_number": "505-570-3373",
            "fax_number": "505-273-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 OSO RIDGE RD",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870209404",
            "telephone_number": "505-570-3373",
            "fax_number": "505-273-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKFIELD REHAB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-206-6240"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.