Robert C Blaylock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

187 Issued in NE

Practice address

211 W 38TH St
Scottsbluff, NE 69361-4626

Phone

(308) 633-2025

NPI assigned

Aug 18, 2009

Last updated

Nov 4, 2009By 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 1

Addresses

Other identifiers 1

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.

• Baird Physical Therapy LLC

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1902037955
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1366674780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 EAGLE POINTE",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411574",
            "telephone_number": "308-631-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614626",
            "telephone_number": "308-633-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025780200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Blackburn, RN
• Landon Blank
• Joseph D Blankenship, PA-C
• Lisa M Blanton
• Meghan Blaylock, AGACNP-BC
• John E Blomstedt III, DO
• Molly Bloodgood, CRNA
• Falecia Blow
• Bluffs Chiropractic Clinic, P.C.
• Bluffs Health Care Clinic

• Physical Therapist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.