Kimberley Jane Blauch, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5287 Issued in OH

Practice address

109 Pine Hollow Cir
Chardon, OH 44024-1490

Phone

(440) 286-4680

NPI assigned

Mar 26, 2012

Last updated

Mar 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Genesis Rehab

  • Skilled Nursing Facility
  • Kennett Square, PA
  • NPI 1740593276
  Authorized official Same address or phone
• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266
  Care Compare group

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1679849491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PINE HOLLOW CIR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241490",
            "telephone_number": "440-286-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PINE HOLLOW CIR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241490",
            "telephone_number": "440-286-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUCH",
        "first_name": "KIMBERLEY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Black
• Jessica Jenelle Blaha, MA CCC-SLP
• William C Blair
• Cameron Blank, PA
• Hannah Marie Blanton, DO
• Kellie Blauman
• Nicholas Theodore Blevins, DDS
• Chelsey Lynn Boecker, PHARM.D.
• Samuel Boggess
• Christopher Bohac, MD

• Physical Therapist in Chardon, OH
• Providers in Chardon, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.