Gretchen M Blaylock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2654 Issued in HI

Practice address

1801 Research Blvd Ste 103
Rockville, MD 20850-3172

Phone

(301) 978-7730

Fax

(301) 978-7731

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Physical Therapy LLCGroup PAC ID 5799001558, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.15 of 100Reported as group

Quality

95.11

Improvement activities

40

Cost

73.69

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rebound Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Rockville, MD
  • NPI 1659761831

  DC

  Medicare reassignment Care Compare group NPD
• Rehab Therapy Partners, Inc.

  • Physical Therapist
  • Aiea, HI
  • NPI 1427002054
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1598892424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RESEARCH BLVD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503172",
            "telephone_number": "301-978-7730",
            "fax_number": "301-978-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RESEARCH BLVD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503172",
            "telephone_number": "301-978-7730",
            "fax_number": "301-978-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "GRETCHEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-2654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE - STATE OF MARYLAND",
            "identifier": "22606",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPT LICENSE",
            "identifier": "DTP-2654",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Blanton
• Brandie Leigh Blassingame, OTR/L
• Claire Danielle Blatt, M.A., LCPC, NCC
• Lisa B Blatt, OT
• Barbara Laine Blaylock, M.D.
• Brittany Megan Bledsoe
• Edam Blendine
• Blessed Center Inc
• Carol A Blimline, PH.D.
• Bliss Acupuncture Wellness LLC

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.