Leslie C Blankenship, L.P.T.A.
Individual provider Active NPI Physical Therapy Assistant · Corning, AR
NPI 1770628919 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770628919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA959 (AR)
- Practice address
- 1700 W Main St
Corning, AR 72422-1903 - Phone
- (870) 857-0049
- Fax
- (870) 857-3027
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA959 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pendergrass Therapy Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA959 | AR | Yes |
Addresses
Primary practice location
1700 W Main St
Corning, AR 72422-1903
Mailing address
1700 W Main St
Corning, AR 72422-1903
Phone (870) 857-0049
Other providers in Corning, AR
- Amanda Jo Baker
- Allison Bass
- Destra Baxter
- Billy D Russom, DDS
- Jenna Bingham
- Veronica Drew Boyd
- Allison N Bradish
- Bradley Chiropractic Center, LLC
- Lisa Deann Bradley
- Amy Brickley-Boyd
All providers in Corning, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.