Jessica Boblak, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070027824 Issued in IL

Practice address

15441 S 94TH Ave
Orland Park, IL 60462-3827

Phone

(708) 981-3715

Fax

(708) 315-7087

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acu Rehab Med PLLCGroup PAC ID 1456866680, 3 clinicians

Mansell Consulting LLCGroup PAC ID 2769863323, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acu Rehab Med PLLC

  • Physical Therapy Clinic/Center
  • Frankfort, IL
  • NPI 1346030186

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mansell Consulting LLC

  • Physical Therapist
  • Frankfort, IL
  • NPI 1609513241
  Medicare reassignment Care Compare group NPD
• Impact Physical Therapy, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1508622614
  NPD

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1639946734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590220",
            "telephone_number": "708-590-6663",
            "fax_number": "708-469-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15441 S 94TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623827",
            "telephone_number": "708-981-3715",
            "fax_number": "708-315-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBLAK",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Blatzer
• Blessed Home Health Care LLC
• Kathy Marie Bloom, DT
• Bluehaven Inc
• Boan Ride Inc
• Joyce M Bocanegra, LCPC
• Jessica Bochenek
• Nicole Boehne, LCPC
• Sheila Adele Boender, MA, LCPC
• Sangita Bogati, LCPC

• Physical Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.