Active NPI
Blair McCarty, DPT
- Physical Therapist
- Grand Island, NE
National Provider Identifier
1487004115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P16343
- Practice address
- 83 Ponderosa Dr
Grand Island, NE 68803-9673 - Phone
- (410) 707-2984
- NPI assigned
- Jun 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3579 | NE | |
| Physical Therapist | 225100000X | P16343 | NC | Primary |
Addresses
Primary practice location
83 Ponderosa Dr
Grand Island, NE 68803-9673
Mailing address
5550 Peden Point Rd
Wilmington, NC 28409-4308
Phone (410) 707-2984
Other names 1
- Blair Losak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Duke University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4829 Carolina Beach Rd
Suite 100
Wilmington, NC 28412-2366
Phone (910) 444-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16343 | NC | MD | Physical Therapist |
| 3579 | NE | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Geriatric Physical Therapist
- Wilmington, NC
- NPI 1013548072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1487004115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 PEDEN POINT RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284094308",
"telephone_number": "410-707-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 PONDEROSA DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688039673",
"telephone_number": "410-707-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "BLAIR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3579",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P16343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLAIR",
"last_name": "LOSAK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.