Active NPI
James Blizel, PT, DPT
- Physical Therapist
- Castro Valley, CA
National Provider Identifier
1942866033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296551
- Practice address
- 20996 Redwood Rd
Castro Valley, CA 94546-5918 - Phone
- (510) 537-0272
- NPI assigned
- May 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63154 | OR | |
| Physical Therapist | 225100000X | 296551 | CA | Primary |
Addresses
Primary practice location
20996 Redwood Rd
Castro Valley, CA 94546-5918
Mailing address
20996 Redwood Rd
Castro Valley, CA 94546
Phone (510) 537-0272
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296551 | CA | MD | Physical Therapist |
| 63154 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1942866033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20996 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "94546",
"telephone_number": "510-537-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20996 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465918",
"telephone_number": "510-537-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIZEL",
"first_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63154",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.