Active NPI
Jared Merrill Blair, DPT
- Physical Therapist
- Tallassee, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6131
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCElite Rehab Solutions Partners, LLCElite Rehab Wedowee LLCElite Rehab Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6131 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Wedowee LLC | Physical Therapist | Current | Accepting new patients |
| Harmony Rehab Solutions Inc | Physical Therapist | Current | Accepting new patients |
| Tallassee Rehab PC | Physical Therapist | Current | Accepting new patients |
| Total Rehab, Inc | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Holtville LLC | Physical Therapist | Current | Accepting new patients |
| Tallassee Rehab | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Solutions Partners LLC | Physical Therapist | Current | Accepting new patients |
| Elite Rehab Heflin LLC | Physical Therapist | Current | Accepting new patients |
| Dadeville Sports Medicine & Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Phenix City Elite Rehab Solutions LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Alexander City, AL
- NPI 1770121741
AL, Physical Therapist
-
- Physical Therapy Clinic/Center
- Wedowee, AL
- NPI 1033782701
AL, Physical Therapist
-
- Physical Therapy Clinic/Center
- Deatsville, AL
- NPI 1649913120
AL, Physical Therapist
-
- Physical Therapist
- Tuskegee, AL
- NPI 1912055690
-
- Physical Therapy Clinic/Center
- Alexander City, AL
- NPI 1699895490
Physical Therapist
-
- Physical Therapist
- Phenix City, AL
- NPI 1669059788
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.