Gordon Talmadge Blair III, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10998 Issued in CO

Practice address

814 S. Perry St.
Suit 101
Castle Rock, CO 80104

Phone

(303) 814-2865

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anacortes Physical Therapy Inc PSGroup PAC ID 1951344944, 4 clinicians

Practice addresses (Care Compare)

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.

• Anacortes Physical Therapy, Inc., P.S.

  • Physical Therapist
  • Anacortes, WA
  • NPI 1386624997
  Medicare reassignment Care Compare group NPD
• Mountain Valley Physical Therapy PC

  dba Mountain Valley Physical Therapy

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1881776748
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1902106578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S. PERRY ST.",
            "address_2": "SUIT 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-814-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S. PERRY ST.",
            "address_2": "SUIT 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-814-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "GORDON",
        "middle_name": "TALMADGE",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "10998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Bird
• Paula Adelle Bishop, LCSW
• Bithell Family Chiropractic P.C.
• Thomas L Bithell, D.C.
• Ariana Bryn Blaher, D.C
• Michael Jack Blake, DPT
• David Blankenship
• Jane Blankenship
• Aaron Robert Block, M.D., M.P.H.
• Elizabeth Ruth Blom, MPT

• Orthopedic Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.