Bryce Allen Blaser, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60768573 Issued in WA

Practice address

400 Sequoia Dr Ste 120
Bellingham, WA 98226-7634

Phone

(360) 752-1511

NPI assigned

Jun 29, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Sprouts NW LLC

  • Physical Therapist
  • Bellingham, WA
  • NPI 1356957674
  NPD (past) Authorized official
• Capstone Health Services Inc.

  dba Capstone Physical Therapy

  • Physical Therapist
  • Ferndale, WA
  • NPI 1861462152
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1679094650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD STE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SEQUOIA DR STE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267634",
            "telephone_number": "360-752-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8862 Bender Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982648800",
            "country_code": "US",
            "telephone_number": "360-354-1115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Newmarket St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982268695",
            "country_code": "US",
            "telephone_number": "360-752-1115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Labounty Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982489403",
            "country_code": "US",
            "telephone_number": "360-384-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1733 H St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "WA",
            "postal_code": "982305107",
            "country_code": "US",
            "telephone_number": "360-332-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sequoia Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982267634",
            "country_code": "US",
            "telephone_number": "360-752-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2824 Lindshier Ave",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982265613",
            "country_code": "US",
            "telephone_number": "309-236-9563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASER",
        "first_name": "BRYCE",
        "middle_name": "ALLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60768573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH PROVIDER NUMBER",
            "identifier": "PT60768573",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily E Blake, RN
• Leslie L Blake, BS, CDP
• Paula S Blaker, P.T.
• Scott N. Blaker, M.D.
• Rachel Lillian Blanton
• Sasha Jan Blaskovich
• Caitlin Marie Blau, DO
• Jennifer Blodgett, MA, CCC-SLP
• Kristen Blok
• Amy K. Blom, RD

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.