Individual provider Active NPI

Annmarie Elizabeth Blankertz, D.P.T.

  • Physical Therapist
  • Swartz Creek, MI
National Provider Identifier
1689998288
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015563 Issued in MI
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

Updated by the provider on May 24, 2018

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 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 Former name

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

LicenseStateTypeSpecialty
5501015563MIMDPhysical 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.

Verify at the official NPI Registry.