Active NPI
Jeffrey Blankenship, MPT
- Orthopedic Physical Therapist
- Richmond, CA
National Provider Identifier
1487950481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT37510
- Practice address
- 2970 Hilltop Mall Rd Ste 203
Richmond, CA 94806-1949 - Phone
- (510) 222-8000
- NPI assigned
- Feb 8, 2011
- Sex
- Male
- 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 | PT37510 | CA | Primary |
Addresses
Primary practice location
2970 Hilltop Mall Rd Ste 203
Richmond, CA 94806-1949
Mailing address
1421 Karen Dr
Benicia, CA 94510-2633
Phone (559) 786-5372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37510 | CA | MD | Licensed Psychiatric Technician |
| PT37510 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686441600000",
"number": "1487950481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 KAREN DR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102633",
"telephone_number": "559-786-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 HILLTOP MALL RD STE 203",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948061949",
"telephone_number": "510-222-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "JEFFREY",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2023-06-11",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT37510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.