Kevin Layne Blanchard, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

7986778-2401 Issued in UT

Practice address

5957 Fashion Point Dr
Ste. 102
South Ogden, UT 84403-5180

Phone

(801) 827-0200

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Physical Therapy, Inc.

  dba Spine and Sports

  • Physical Therapist
  • West Haven, UT
  • NPI 1487998431

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1497198311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 FASHION POINT DR",
            "address_2": "STE. 102",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035180",
            "telephone_number": "801-827-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 FASHION POINT DR",
            "address_2": "STE. 102",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035180",
            "telephone_number": "801-827-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "KEVIN",
        "middle_name": "LAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "7986778-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklynn Black, RBT
• Gavin Black, RBT
• Margaret Elizabeth Black
• Rachel Black, RBT
• Laura Kiane Blackett, FNP
• Body Tune Physical Therapy PC
• Daniel Bohman
• Tel Skidmore Boman, M.S., AUD
• Tamsyn Beyonce Bouwer
• Sydney Bowden, RBT

• Orthopedic Physical Therapist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.