Nicholas Louis Blonski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5941 Issued in NM

Practice address

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412

Phone

(505) 724-4300

Fax

(505) 335-0034

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By 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

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Therapy Services South Montrose LLCGroup PAC ID 8022118926, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Therapy Services South Montrose LLC

  • Physical Therapist
  • Montrose, CO
  • NPI 1316142367
  Medicare reassignment Care Compare group NPD
• New Mexico Orthopaedic Associates PC

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1407898299
  Medicare reassignment NPD
• New Mexico Orthopaedic Associates PC

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
  • NPI 1942236971

  Physical Therapist

  NPD
• In Motion Hand Therapy Inc

  dba In Motion Therapy

  • Rehabilitation Clinic/Center
  • Montrose, CO
  • NPI 1407804065

  Physical Therapist

  NPD
• Montrose Memorial Hospital, Inc

  • Diagnostic Radiology Physician
  • Montrose, CO
  • NPI 1437997947
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1396414892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LOUISIANA BLVD NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105412",
            "telephone_number": "505-724-4300",
            "fax_number": "505-335-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LOUISIANA BLVD NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105412",
            "telephone_number": "505-724-4300",
            "fax_number": "505-335-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONSKI",
        "first_name": "NICHOLAS",
        "middle_name": "LOUIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Rebecca Bloch
• Frederick H Blodgett, FNP-BC
• Carla Bloedel-Clark, MD
• Dianna L Blom, LMHC
• Robyn Blomberg, RN
• Bloom Bilingual Therapy LLC
• Bloom Trauma Therapy LLC
• Bloom Wellness Center, LLC
• Leesa Robin Bloom
• Ricki Bloom, LMSW-P

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.