Blanco Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1099380 Issued in TX

Legal business name

BLANCO PHYSICAL THERAPY

Practice address

11 Main St
Blanco, TX 78606-4900

Phone

(830) 833-5581

Fax

(830) 833-4933

NPI assigned

May 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Frank Neffendorf, PTNPI 1487660437

Title

Owner

Phone

(830) 833-3068

Specialties & licenses 1

Addresses

Tax ID family

Blanco Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blanco Physical Therapy, LLC

  • Physical Therapist
  • Blanco, TX
  • NPI 1427824382
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Frank Neffendorf, PT

  • Physical Therapist
  • Blanco, TX
  • NPI 1487660437
  NPD Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1497072326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786064900",
            "telephone_number": "830-833-3068",
            "fax_number": "830-833-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786064900",
            "telephone_number": "830-833-5581",
            "fax_number": "830-833-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "NEFFENDORF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-833-3068",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1099380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Blackburn, LMT
• Janna Blanchard, M.D.
• Blanco Community Pharmacy & Health Center LLC
• Blanco County Emergency Services District 2
• Blanco Dentistry and Orthodontics PLLC
• Blanco Physical Therapy, LLC
• Blanco Regional Clinic, P.a.
• Blanco Volunteer Ambulance Corp. Inc.
• Margaret McQuiston Boswell
• Justin Box, DVM

• Physical Therapist in Blanco, TX
• Providers in Blanco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.