John Steven Blanton Jr., PTA
Individual provider Active NPI Physical Therapy Assistant · Cleveland, OH
NPI 1306684097 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1306684097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA013020 (OH)
- Practice address
- 6829 Broadway Ave
Cleveland, OH 44105-1313 - Phone
- (216) 271-1133
- Fax
- (216) 271-1325
- NPI assigned
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA013020 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | PTA013020 | OH | Yes |
Addresses
Primary practice location
6829 Broadway Ave
Cleveland, OH 44105-1313
Mailing address
6829 Broadway Ave
Cleveland, OH 44105-1313
Phone (216) 271-1133
Other providers in Cleveland, OH
- Drew Blankenship
- Robert P Blankfield
- Laura Blankschaen
- George Akyea Blankson
- Emma Blanton
- Ronald E Blanton
- Melana Blase
- Caitlin Blaskewicz
- Dominic Zachary Blatnik
- Hayley Blatnik
All providers in Cleveland, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.