NPIMap

Organization Active NPI

Blankinship Physical Therapy PC

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1770672909
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4181 Issued in AZ
Legal business name
BLANKINSHIP PHYSICAL THERAPY PC
Practice address
1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429
Phone
(480) 855-5542
Fax
(480) 855-5756
NPI assigned
Oct 12, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. Craig A Blankinship, MSPTNPI 1093851693
Title
Owner
Phone
(480) 855-5542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4181 AZ Primary

Addresses

Primary practice location

1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429

Mailing address

1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429
Phone (480) 855-5542

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1770672909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542",
            "fax_number": "480-855-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542",
            "fax_number": "480-855-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKINSHIP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BLANKINSHIP",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-855-5542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.