Individual provider Active NPI

Catherine Zahn Blondell, DPT

  • Physical Therapist
  • Macedon, NY
National Provider Identifier
1518564459
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046016 Issued in NY
Practice address
1900 State Road 31
Suite 12
Macedon, NY 14502-8643
Phone
(315) 986-4655
Fax
(315) 986-5901
NPI assigned
Oct 5, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046016 NY Primary

Addresses

Primary practice location

1900 State Road 31
Suite 12
Macedon, NY 14502-8643

Mailing address

1900 State Road 31
Suite 12
Macedon, NY 14502-8643
Phone (315) 986-4655

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

LicenseStateTypeSpecialty
046016NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1518564459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ROAD 31",
            "address_2": "SUITE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028643",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ROAD 31",
            "address_2": "SUITE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028643",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDELL",
        "first_name": "CATHERINE",
        "middle_name": "ZAHN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.