Quinn Blanchard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63314 Issued in OR

Practice address

1144 Willagillespie Rd Ste 1
Eugene, OR 97401-6711

Phone

(541) 636-4471

NPI assigned

Aug 13, 2019

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reclaim Physical Therapy LLCGroup PAC ID 2163614470, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Reclaim Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Eugene, OR
  • NPI 1811201247
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1376199638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 MCKENNA DR APT 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018602",
            "telephone_number": "541-735-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 WILLAGILLESPIE RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016711",
            "telephone_number": "541-636-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "QUINN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kay Blake, MA
• Kelsey Elizabeth Blake
• Blaker Enterprises Inc
• Debra Susan Blaker, FNP
• Sagamore James Blakley, PSS
• Martha Blanchet, L.M.T., M.A., C.H.P.
• Carissa Fawn Blank, LPN
• Shannon N Blanken, RPH
• Lindsay Stuve Blankenship
• Dylan Blanks, RN

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.