Vincent Blankenship, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 003354 Issued in WV

Practice address

One Rodgers Dr.
Millan Puskar Stadium
Morgantown, WV 26507-0877

Phone

(304) 293-9542

NPI assigned

May 22, 2015

Last updated

May 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1871972810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877 ONE RODGERS DR.",
            "address_2": "MILLAN PUSKAR STADIUM",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070877",
            "telephone_number": "304-293-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE RODGERS DR.",
            "address_2": "MILLAN PUSKAR STADIUM",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070877",
            "telephone_number": "304-293-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "VINCENT",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28536",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT 003354",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001360",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Blaney, MD
• Stephanie Joann Blaney
• Josh Blankenship
• Kevin J Blankenship, MD
• Valerie Blankenship
• David C Blass, M.D.
• Joseph Robert Blatt, M.D.
• Abbi Blevins
• Kari McCrobie Blizzard, M.A, M.A, NCC, LPC
• Mary Angela Blizzard

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.