Active NPI
Eric John Blasing, PT ATC
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1710086707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3946
- Practice address
- 7707 W Deer Valley Rd
Suite 100
Peoria, AZ 85382-2101 - Phone
- (623) 376-9100
- Fax
- (623) 376-9141
- NPI assigned
- Sep 22, 2006
- 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 | 3946 | AZ | Primary |
Addresses
Primary practice location
7707 W Deer Valley Rd
Suite 100
Peoria, AZ 85382-2101
Mailing address
19429 N 35TH PL
Phoenix, AZ 85050-3936
Phone (602) 441-4970
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 |
|---|---|---|---|
| 3946 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Institute of Scottsdale | Past | Accepting new patients |
Organizations & group practices 1
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 Medicine & Rehabilitation Physician
- Scottsdale, AZ
- NPI 1104041094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710086707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19429 N 35TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503936",
"telephone_number": "602-441-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 W DEER VALLEY RD",
"address_2": "SUITE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822101",
"telephone_number": "623-376-9100",
"fax_number": "623-376-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASING",
"first_name": "ERIC",
"middle_name": "JOHN",
"credential": "PT ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.