Alec Blanco

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2888 Issued in FL

Practice address

560 SW McFarlane Ave
Lake City, FL 32025-5614

Phone

(386) 758-4777

NPI assigned

Oct 16, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1578039772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SW LOGAN GLN APT 203",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255666",
            "telephone_number": "786-879-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SW MCFARLANE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255614",
            "telephone_number": "386-758-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ALEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA2888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Florida, Inc.
• Bio-Medical Applications of Florida, Inc.
• Michele Love Bird
• Terry S Birman
• Shaun Blalack, PHARMD
• Melody Sue Blankenship, RRT
• Nancy Thedis Blanton, LCSW
• Jennifer Blue
• Jean Blum, LMT
• Katie J Blunk, CTRS, CARSS II

• All providers in Lake City, FL
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.