Individual provider Active NPI

Jessica Paskalis Blasko, PT, DPT

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1427071877
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2956 Issued in NH
Practice address
775 Lafayette Rd Ste 9
Portsmouth, NH 03801-5434
Phone
(603) 431-9700
NPI assigned
Jul 26, 2006
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16210 MA
Physical Therapist 225100000X 2956 NH Primary

Addresses

Primary practice location

775 Lafayette Rd Ste 9
Portsmouth, NH 03801-5434

Mailing address

114 Corporate Dr
Portsmouth, NH 03801-6815
Phone (603) 828-9203

Other practice location 1

114 Corporate Dr
Portsmouth, NH 03801-6815
Phone (603) 828-9203

Other identifiers 3

IdentifierTypeStateIssuer
3628198OtherNHAETNA
08Y007532NH01OtherNHANTHEM
30393089MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000619 NH Practitioner - Physical Therapist in Private Practice 7113906603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport and Spine Physical Therapy IncGroup PAC ID 4385641844, 13 clinicians

Practice addresses (Care Compare)

775 Lafayette Rd
Suite 9
Portsmouth, NH 03801-5434
Phone (603) 431-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16210MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sport and Spine Physical Therapy Inc. Physical Therapist CurrentSince Jan 7, 2025 Accepting new patients
Atlantic Physical Therapy & Weightloss Center Physical Therapist Past Accepting new patients
Healthways Family Practice LLC Past Accepting new patients
Aquatic Therapy of New England Physical Therapist Past Accepting new patients

Locations

775 Lafayette Rd
Ste 9
Portsmouth, NH 03801
Phone (603) 431-9700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1427071877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CORPORATE DR",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016815",
            "telephone_number": "603-828-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 LAFAYETTE RD STE 9",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015434",
            "telephone_number": "603-431-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038016815",
            "country_code": "US",
            "telephone_number": "603-828-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASKO",
        "first_name": "JESSICA",
        "middle_name": "PASKALIS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3628198",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y007532NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30393089",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.