Brittany M Blaylock, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1534 Issued in NE

Practice address

2325 Lodge Dr
Gering, NE 69341-6825

Phone

(308) 436-5007

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 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

Other identifiers 1

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1679271076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 3RD AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611712",
            "telephone_number": "308-430-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 LODGE DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693416825",
            "telephone_number": "308-436-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Betz-Marquez, PROVIDER
• Adriana Billie
• Sarah Elizabeth Billingsley, M.S.
• Heaven Rochelle Bishop
• Thomas D Blackstone, D.C.
• Bluffs Vision Care (Valley Vision Care)
• Todd William Boggs, D.C.
• Cheyenne Borgman
• Linda Rose Bourlier
• Zoe Fraces Grace Branham

• Physical Therapy Assistant in Gering, NE
• Providers in Gering, NE by specialty
• Physical Therapy Assistant in Nebraska

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