Branden Shane Blume, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT4849 Issued in AR

Practice address

5300 S Southern Hills CT # 200
Rogers, AR 72758-3500

Phone

(479) 636-1324

NPI assigned

Sep 15, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Morter Health Corner

  • General Practice Physician
  • Rogers, AR
  • NPI 1760782510
  NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1861007841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 EVERGREEN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076312",
            "telephone_number": "479-871-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SOUTHERN HILLS CT # 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583500",
            "telephone_number": "479-636-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "BRANDEN",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Blankenship
• William Blankenship, QBHP
• Jonathan Andrew Blansett, DDS, MS
• Joshua Blaylock, M.D.
• Morgan Bledsoe, OTR/L
• Mallory Leigh Bockelman, LPC
• Body Positive Therapy, PLLC
• Jennifer Diane Boehm, LPC
• Jennifer Ann Boggs, WHNP
• Bohannan Anesthesia PLLC

• Orthopedic Physical Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.