Jessica Blomberg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27725 Issued in MD

Practice address

1707 Whetstone Way
Baltimore, MD 21230-5198

Phone

(410) 685-1202

Fax

(410) 685-1247

NPI assigned

Sep 12, 2017

Last updated

Dec 13, 2023By 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

• Jessica Bates Former name

Medicare fee-for-service enrollment

Enrolled in MA, AZ, MD3 enrollments

Enrollment records 3

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

• Lifebridge Sports Medicine and Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Eldersburg, MD
  • NPI 1578055497
  Medicare reassignment NPD
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Norton, MA
  • NPI 1225161193
  Medicare reassignment NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1467129684
  Medicare reassignment
• Fine, Bryant & Wah, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1821606583

  Physical Therapist

  NPD
• Lifebridge Sports Medicine & Rehabilitation, LLC

  dba Lifebridge Health Physical Therapy

  • Rehabilitation Clinic/Center
  • Towson, MD
  • NPI 1699006106
  NPD
• Lifebridge Sports Medicine and Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Westminster, MD
  • NPI 1154931962
  NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1497271431
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1548867005
  NPD
• Select Medical of Maryland Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Cumberland, MD
  • NPI 1275535940

  Physical Therapist

  NPD (past)
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1346769346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WHETSTONE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305198",
            "telephone_number": "410-685-1202",
            "fax_number": "410-685-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WHETSTONE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305198",
            "telephone_number": "410-685-1202",
            "fax_number": "410-685-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMBERG",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BATES",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Michael Block, M.D.
• David Samuel Block, M.D.
• Jillian Block, LCPC
• Julie Block, CRNA
• Helen (Katey) Kathleen Bloh, DNP, ACNP-AG, ACCNS
• Joseph Max Blommer
• Joan L Blomquist, M.D.
• James Pollack Blondheim, P.D.
• Blonnie's House, LLC
• Blonnie's House, LLC

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.