Laura Blalock, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3376 Issued in OK

Practice address

10740 S May Ave Ste 111
Oklahoma City, OK 73170-2479

Phone

(405) 286-9605

NPI assigned

Feb 21, 2023

Last updated

Feb 21, 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

• Laura Robertson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1376241034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "812-628-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 S MAY AVE STE 111",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702479",
            "telephone_number": "405-286-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "LAURA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ROBERTSON",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abram Blalock
• Billy Blalock III, PHARM D
• Deborah Sue Blalock, MD
• James Mattison Blalock, MD
• Jessica Dawn Blalock
• Meredith Winslow Blalock, ND
• Travis Wayne Blalock, M.D.
• Ashlee Nichole Blanchard
• Benjamin Lee Blanchard, MD
• Laura Blanchard

• Physical Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.