Active NPI
Kathryn Blalock, DPT
- Orthopedic Physical Therapist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 704 Mowry Ave
Fremont, CA 94536-4115 - Phone
- (510) 790-3213
- NPI assigned
- Dec 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
704 Mowry Ave
Fremont, CA 94536-4115
Mailing address
35565 Collier PL
Fremont, CA 94536-3311
Phone (510) 386-8360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Sterling Pkwy
Suite 150
Lincoln, CA 95648-7328
Phone (916) 543-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37360 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swanson Schaack Physical Therapy | Orthopedic | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Orthopedic | Current | Accepting new patients |
| Schaack Physical Therapy PC | Current | Accepting new patients | |
| Peak Performance Physical Therapy Inc | Current | Accepting new patients |
Locations
111 Woodmere Rd
Ste 270
Folsom, CA 95630
2330 E Bidwell St
Ste 130
Folsom, CA 95630
1895 Mowry Ave
Ste 115
Fremont, CA 94538
Phone (510) 790-3213
704 Mowry Ave
Fremont, CA 94536
Phone (510) 790-3213
801 Sterling Pkwy
Ste 150
Lincoln, CA 95648
Phone (916) 543-7900
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
1620 Lead Hill Blvd
Ste 200
Roseville, CA 95661
Phone (916) 789-1111
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.
-
- Physical Therapist
- Lincoln, CA
- NPI 1477987261
-
- Physical Therapy Clinic/Center
- Fremont, CA
- NPI 1346348943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1477856284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35565 COLLIER PL",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363311",
"telephone_number": "510-386-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364115",
"telephone_number": "510-790-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLALOCK",
"first_name": "KATHRYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-16",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.