Lisa Renee Blenkle, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

LPT-31502 Issued in AZ

Practice address

4929 S Val Vista Dr
Gilbert, AZ 85298-0664

Phone

(480) 590-6921

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Renee Warhurst Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Chandler, AZ
  • NPI 1336770221
  Medicare reassignment Care Compare group
• Rehabnet Outpatient Center

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1497810634
  NPD (past)
• Rehabnet Outpatient Center

  • Durable Medical Equipment & Medical Supplies
  • Santa Monica, CA
  • NPI 1699830851
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1548469349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980664",
            "telephone_number": "480-590-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980664",
            "telephone_number": "480-590-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLENKLE",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 25362",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "LPT-31502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WARHURST",
            "middle_name": "RENEE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Blanco, O.D.
• Sarah Blankenheimer, FNP-C
• Blankinship Physical Therapy PC
• Craig A Blankinship, MSPT
• Jerald Shawn Bleacher, PT,MSPT
• Blessed Hands Health Care LLC
• Blessed Hands Health Care LLC
• Blessed Hands Health Care LLC
• Blessed Home Health Care,Inc.
• Casey Daniel Blonde, RN

• Geriatric Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Geriatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.