John David Blankfield, P.T.
Individual provider Active NPI Physical Therapist · Grants, NM
NPI 1952419756 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952419756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2002 (NM)
- Practice address
- 582 Oso Ridge Rd
Grants, NM 87020-9404 - Phone
- (505) 240-0315
- Fax
- (505) 783-4479
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Partners LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2002 | NM | Yes |
Addresses
Primary practice location
582 Oso Ridge Rd
Grants, NM 87020-9404
Mailing address
582 Oso Ridge Rd
Grants, NM 87020-9404
Phone (505) 240-0315
Other providers in Grants, NM
- Bethphage Mission West
- Beverly Michael
- Chander S Bhatia
- Blankfield Rehab LLC
- Blankfield Rehab LTD
- Linda A Brito
- Cheryl Ann Buck
- C.O.P.E Counseling LLC
- Shelly Kristine Campbell
- Gabriel S Candelaria
All providers in Grants, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.