Individual provider Active NPI

Susan Elizabeth Blasi, P.T

  • Orthopedic Physical Therapist
  • Oxford, OH
National Provider Identifier
1700068830
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
011960 Issued in OH
Practice address
10 N Locust St
Suite a
Oxford, OH 45056-1192
Phone
(513) 523-9391
Fax
(513) 523-0972
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 011960 OH Primary

Addresses

Primary practice location

10 N Locust St
Suite a
Oxford, OH 45056-1192

Mailing address

10 N Locust St
Suite a
Oxford, OH 45056-1192
Phone (513) 523-9391

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
011960OHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1700068830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "SUITE A",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-9391",
            "fax_number": "513-523-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "SUITE A",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-9391",
            "fax_number": "513-523-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASI",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "011960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.