Justin L Blatchford, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

3881 Issued in NE

Practice address

20502 Roosevelt St
Elkhorn, NE 68022-4148

Phone

(402) 955-8181

NPI assigned

Aug 14, 2018

Last updated

Jan 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children's Specialty Physician Billing

  • Pediatric Nurse Practitioner
  • Omaha, NE
  • NPI 1013040369
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1356820989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10118 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345555",
            "telephone_number": "402-939-7939",
            "fax_number": "402-939-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20502 ROOSEVELT ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224148",
            "telephone_number": "402-955-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATCHFORD",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3881",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NE",
            "license": "3881",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "3881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia K Bishop, M.D.
• Katrina Jo Bishop, PLADC
• Abby Jo Bjornsen, PMHP
• Sterling Garnell Blackham, DO
• Jennifer Blaker
• Lindsey Ann Blobaum
• Jenica Bloom
• Bloomwell Behavioral Health Inc.
• Hunter Bockman
• Manuela Bogdanovic

• Pediatric Physical Therapist in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Pediatric Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.