Active NPI
Joshua Alan Blanchard, PT, LAT
- Physical Therapist
- Greenwood, IN
National Provider Identifier
1891042883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008289A
- Practice address
- 3000 S State Road 135 Ste 110
Greenwood, IN 46143-9607 - Phone
- (317) 535-4075
- Fax
- (317) 535-4076
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008289A | IN | Primary |
Addresses
Primary practice location
3000 S State Road 135 Ste 110
Greenwood, IN 46143-9607
Mailing address
1317 De Soto Court
Indianapolis, IN 46217
Phone (317) 865-9263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131105001006 | IN | Practitioner - Physical Therapist in Private Practice | 0143455808 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1891042883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 DE SOTO COURT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46217",
"telephone_number": "317-865-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S STATE ROAD 135 STE 110",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439607",
"telephone_number": "317-535-4075",
"fax_number": "317-535-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "JOSHUA",
"middle_name": "ALAN",
"credential": "PT, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008289A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.