Krista Blievernicht, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008628 Issued in MI

Practice address

2815 Northwind Dr
East Lansing, MI 48823-5003

Phone

(517) 483-3004

NPI assigned

Sep 21, 2026

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1487566790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BOND RD",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208498",
            "telephone_number": "517-483-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 NORTHWIND DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235003",
            "telephone_number": "517-483-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIEVERNICHT",
        "first_name": "KRISTA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine A Blakeney, MD
• Alexander James Blanchett
• Charisse Blanks
• Margaret Jane Blayney, MD
• Kyle Blickenstaff, B.S.
• Karla J Block, LMSW
• Iman Blocker
• Kassie Blok, LLSLP
• Bloom and Balance PLLC
• Blue Care Network Pharmacy

• Physical Therapy Assistant in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.