Martha E. Blakeley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012907 Issued in IL

Practice address

216 Pittsfield Rd
Mount Sterling, IL 62353

Phone

(217) 773-3963

Fax

(217) 773-3426

NPI assigned

Aug 6, 2007

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Martha E. Vest Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quincy Physicians and Surgeons Clinic, PLLCGroup PAC ID 0749192375, 231 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quincy Physicians & Surgeons Clinic, PLLC

  • Clinic/Center
  • Quincy, IL
  • NPI 1548234198
  Medicare reassignment Care Compare group NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  dba Quincy Medical Group

  • Rural Health Clinic/Center
  • Winchester, IL
  • NPI 1114105749
  NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsfield, IL
  • NPI 1871794925
  NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  dba Quncy Medical Group Pharmacy

  • Pharmacy
  • Quincy, IL
  • NPI 1417921560
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1326239385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MAIN ST",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "623531378",
            "telephone_number": "217-773-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PITTSFIELD RD",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "62353",
            "telephone_number": "217-773-3963",
            "fax_number": "217-773-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Buckhorn Rd",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "IL",
            "postal_code": "623531403",
            "country_code": "US",
            "telephone_number": "217-773-3963",
            "fax_number": "217-773-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKELEY",
        "first_name": "MARTHA",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "VEST",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Advance Physical Therapy & Sports Medicine of Chatham LLC (Advance Physical Therapy)
• Apex Physical Therapy, LLC
• Liann S Bauch
• Be Well Therapeutic Center LLC
• Donna Bemis
• Blessing Hospital
• Rochelle L Briney, LCSW
• Brown County (Brown County Ambulance Service)
• Brown County Cu SCH Dist 1
• Brown County Public Health Department

• Physical Therapist in Mt Sterling, IL
• Providers in Mt Sterling, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.