Individual provider Active NPI

Angela Jean Blaikie, PT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1891131579
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40133 Issued in CA
Practice address
115 Natoma Street
Folsom, CA 95630
Phone
(916) 355-8500
Fax
(916) 353-2279
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40133 CA Primary

Addresses

Primary practice location

115 Natoma Street
Folsom, CA 95630

Mailing address

115 Natoma Street
Folsom, CA 95630
Phone (509) 863-6163

Other names 1

  • Angela Jean Howard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Folsom Physical Therapy & Training Center Inc Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist Past Accepting new patients
Schaack Physical Therapy PC Physical Therapist Past Accepting new patients
Motion Recovery Physical Therapy Inc Physical Therapist PastSince Apr 5, 2005 Accepting new patients

Locations

115 Natoma St
Folsom, CA 95630
Phone (916) 355-8500

Organizations & group practices 4

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1891131579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NATOMA STREET",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "509-863-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NATOMA STREET",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-355-8500",
            "fax_number": "916-353-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIKIE",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HOWARD",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.