Jonathan Daniel Blalock, REC. THERAPIST

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

3564 Issued in NC

Practice address

77 Central Ave Ste E
Asheville, NC 28801-2451

Phone

(828) 277-1315

NPI assigned

Aug 11, 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

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.

• F.I.R.S.T.

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1710116942
  NPD
• F.I.R.S.T.

  • Case Management Agency
  • Asheville, NC
  • NPI 1154506301
  NPD (past)

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1609355569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288020802",
            "telephone_number": "828-277-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "828-277-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Roberts Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038699",
            "country_code": "US",
            "telephone_number": "828-277-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "credential": "REC. THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-11",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NC",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Blair, PT, DPT
• Greg Blais, P.T.
• Brianna Tipton Blake, PA
• Christi Amber Blake, PA-C
• Jennifer Anne Blalock, PMHNP
• Jamie Lee Blankinship, PA-C
• Matthew George Blanton, DNP
• P Gregg Blanton, EDD
• Victoria Lane Blanton, PHARMD
• Morgan Blazer

• Recreation Therapist in Asheville, NC
• Providers in Asheville, NC by specialty
• Recreation Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.