NPIMap

Individual provider Active NPI

Laura Blasco, P.T.

  • Physical Therapist
  • Parma, OH
National Provider Identifier
1386745859
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-11086 Issued in OH
Practice address
5273 Broadview Rd
Parma, OH 44134-1626
Phone
(216) 749-6650
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-11086 OH Primary

Addresses

Primary practice location

5273 Broadview Rd
Parma, OH 44134-1626

Mailing address

8732 Royalhaven Dr
North Royalton, OH 44133-1657

Other identifiers 4

IdentifierTypeStateIssuer
0842995MedicaidOH
34-1627933OtherOHTRICARE
OH4655AOtherOHBEECH STREET CORPORATION
000000217473OtherOHANTHEMBLUECROSS/BLUESHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-11086OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Physical Therapy Inc Physical Therapist Past Accepting new patients
Crystal Clinic, Inc. Past Accepting new patients
Crystal Clinic Inc Past Accepting new patients
Rehab Services, Inc. Past Accepting new patients
Tricounty Physical Therapy Physical Therapist Past Accepting new patients
Center of Orthopedic Surgery Inc Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1386745859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8732 ROYALHAVEN DR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341626",
            "telephone_number": "216-749-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCO",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-11086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842995",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "34-1627933",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET CORPORATION",
            "identifier": "OH4655A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBLUECROSS/BLUESHIEL",
            "identifier": "000000217473",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.