Individual provider Active NPI

Jared Merrill Blair, DPT

  • Physical Therapist
  • Tallassee, AL
National Provider Identifier
1689969701
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6131 Issued in AL
Practice address
1000 Friendship Rd
Tallassee, AL 36078-1265
Phone
(334) 283-8032
Fax
(334) 283-1136
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6131 AL Primary

Addresses

Primary practice location

1000 Friendship Rd
Tallassee, AL 36078-1265

Mailing address

1000 Friendship Rd
Tallassee, AL 36078-1265
Phone (334) 283-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000487 AL Practitioner - Physical Therapist in Private Practice 8628256054 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallassee Rehab PCGroup PAC ID 0840260626, 4 clinicians
Elite Rehab Solutions Partners, LLCGroup PAC ID 7719317585, 4 clinicians
Elite Rehab Wedowee LLCGroup PAC ID 3375941826, 3 clinicians
Elite Rehab IncGroup PAC ID 9436476066, 12 clinicians

Practice addresses (Care Compare)

1000 Friendship Rd
Tallassee, AL 36078-1265
Phone (334) 283-8032

1120 Airport Dr
Suite 103
Alexander City, AL 35010-3444
Phone (256) 392-4896

14090 Co Rd
Suite 15
Wedowee, AL 36278-7180
Phone (256) 357-1077

301 Wright St
Tuskegee, AL 36083-1558
Phone (334) 725-1261

935 Hwy 431
Suite 1
Roanoke, AL 36274-7332
Phone (334) 863-2068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH6131ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehab Inc Physical Therapist Current Accepting new patients
Elite Rehab Inc Physical Therapist CurrentSince Dec 15, 2014 Accepting new patients
Elite Rehab Wedowee LLC Physical Therapist CurrentSince Sep 21, 2021 Accepting new patients
Harmony Rehab Solutions Inc Physical Therapist CurrentSince Aug 7, 2019 Accepting new patients
Tallassee Rehab PC Physical Therapist CurrentSince Jun 20, 2011 Accepting new patients
Total Rehab, Inc Physical Therapist CurrentSince May 10, 2016 Accepting new patients
Elite Rehab Holtville LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Tallassee Rehab Physical Therapist CurrentSince Jun 20, 2011 Accepting new patients
Elite Rehab Solutions Partners LLC Physical Therapist CurrentSince Jan 25, 2020 Accepting new patients
Elite Rehab Heflin LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Dadeville Sports Medicine & Physical Therapy Physical Therapist PastSince Jan 25, 2020 Accepting new patients
Phenix City Elite Rehab Solutions LLC Physical Therapist PastSince Apr 1, 2021 Accepting new patients

Locations

1120 Airport Dr
Ste 103
Alexander City, AL 35010
Phone (256) 329-8180

2515 E Glenn Ave
Ste 104
Auburn, AL 36830
Phone (334) 821-2256

213 Lightwood Rd
Ste 2
Deatsville, AL 36022
Phone (334) 543-4269

141 Willoughby St
Heflin, AL 36264
Phone (256) 463-2920

6942 Winton Blount Blvd
Montgomery, AL 36117
Phone (334) 277-1234

1636 Mulberry St
Montgomery, AL 36106
Phone (334) 265-3199

935 Highway 431
Ste 1
Roanoke, AL 36274
Phone (334) 799-5853

1000 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-8032

301 Wright St
Tuskegee, AL 36083
Phone (334) 241-5224

14090 County Road 15
Wedowee, AL 36278
Phone (256) 357-1077

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1689969701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781265",
            "telephone_number": "334-283-8032",
            "fax_number": "334-283-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781265",
            "telephone_number": "334-283-8032",
            "fax_number": "334-283-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JARED",
        "middle_name": "MERRILL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.