Rachel Ellen Blavos, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012457 Issued in GA

Practice address

1835 Savoy Dr
#101B
Atlanta, GA 30341-1072

Phone

(678) 298-9484

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Female

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ability Pro Therapy, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1962950907
  NPD

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1891241543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 CHASTAIN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424178",
            "telephone_number": "228-235-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR",
            "address_2": "#101B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072",
            "telephone_number": "678-298-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAVOS",
        "first_name": "RACHEL",
        "middle_name": "ELLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Shane Blasko, PH.D.
• Mitchell A Blass, M.D.
• Tyler Blatchford
• Allison Brooke Blatt, PT
• Suzanne Marie Blauser, MD
• Akilah S. Blaylock, PT
• John Bleacher, MD
• Elizabeth Bleakley, PA
• Ewelina Bledniak
• Brian A Bledsoe, M.D.

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.