Regina A. Blanke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35824 Issued in FL

Practice address

2010 S Ridgewood Ave
Edgewater, FL 32141-4253

Phone

(386) 671-2626

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florehab Center LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1730418237
  Medicare reassignment NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1740891753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LINCOLN AVE",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321692534",
            "telephone_number": "850-499-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414253",
            "telephone_number": "386-671-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKE",
        "first_name": "REGINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bergoine, D.C.
• Jeffrey R Berner, PT
• Leslie R Betts
• Bhi of Central Florida Corporation (SafeNet Non-Emergency Transportation)
• Noah Benjamin Bigman, FNP-C
• Todd Vincent Boicourt
• Brilliance Living Corporation (Brilliance Assisted Living)
• Joshua Budvarson, OTR/L
• Anne Butler, M.D.
• Rene Callanta, LMT

• Physical Therapist in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.