Individual provider Active NPI

Julia Christine Blais, PT, DPT

  • Physical Therapist
  • Springfield, MA
National Provider Identifier
1467097543
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26579 Issued in MA
Practice address
516 Carew St
Springfield, MA 01104-2330
Phone
(413) 787-2000
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 1320501 TX
Physical Therapist 225100000X 26579 MA Primary

Addresses

Primary practice location

516 Carew St
Springfield, MA 01104-2330

Mailing address

11 Mayher St
Easthampton, MA 01027-2429
Phone (413) 241-4420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002118 MA Practitioner - Physical Therapist in Private Practice 8729438106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26579MAMDPhysical Therapist
1320501TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shriners' Hospital for Children Current Accepting new patients
The Shriners' Hospital for Children CurrentSince Nov 7, 2023 Accepting new patients
The Shriners' Hospital for Children CurrentSince Nov 7, 2023 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1467097543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAYHER ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272429",
            "telephone_number": "413-241-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042330",
            "telephone_number": "413-787-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIS",
        "first_name": "JULIA",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1320501",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.