Adam Blaine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214641 Issued in VA

Practice address

225 Reinekers LN
Alexandria, VA 22314-2856

Phone

(703) 672-7208

NPI assigned

Aug 26, 2021

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Respire Physical Therapy LLCGroup PAC ID 1456781459, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Respire Physical Therapy LLC

  • Physical Therapist
  • Falls Church, VA
  • NPI 1679118178

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prime Movers Performance Lab LLC

  • Physical Therapy Clinic/Center
  • Fishersville, VA
  • NPI 1457210544
  NPD Authorized official

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1457028490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 4TH ST N APT 108",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033006",
            "telephone_number": "304-923-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 REINEKERS LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142856",
            "telephone_number": "703-672-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAINE",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria F. Blalock
• Lindsay Walker Blass, PSY.D.
• Alexandra Blaszkiewicz
• Irena Zdablasz Blaszkiewicz, OTR/L, OTD
• Katreena Marie Blazewicz

• All providers in Alexandria, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.