Active NPI
Annmarie Elizabeth Blankertz, D.P.T.
- Physical Therapist
- Swartz Creek, MI
National Provider Identifier
1689998288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015563
- Practice address
- 6012 Linden Rd Ste 15
Swartz Creek, MI 48473 - Phone
- (810) 655-8244
- Fax
- (810) 655-2192
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- 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 | 5501015563 | MI | Primary |
Addresses
Primary practice location
6012 Linden Rd Ste 15
Swartz Creek, MI 48473
Mailing address
6012 Linden Rd Ste 15
Swartz Creek, MI 48473-8889
Other names 1
- Annmarie Elizabeth Blankertz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015563 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1689998288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6012 LINDEN RD STE 15",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484738889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6012 LINDEN RD STE 15",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "48473",
"telephone_number": "810-655-8244",
"fax_number": "810-655-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKERTZ",
"first_name": "ANNMARIE",
"middle_name": "ELIZABETH",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNMARIE",
"last_name": "BLANKERTZ",
"middle_name": "ELIZABETH",
"credential": "D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Swartz Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.