Martha Blincoe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001332 Issued in GA

Practice address

1244 Clairmont Rd
Suite 224
Decatur, GA 30030-1259

Phone

(404) 728-9766

Fax

(404) 728-9166

NPI assigned

Sep 21, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962501403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FRIAR TUCK RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092612",
            "telephone_number": "404-728-9766",
            "fax_number": "404-728-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD",
            "address_2": "SUITE 224",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301259",
            "telephone_number": "404-728-9766",
            "fax_number": "404-728-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINCOE",
        "first_name": "MARTHA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Simone Blake, BS-RRT ,MPH
• Norma Jane Blanchard
• Jaime Anne Blandino, PH.D.
• Peyton Patricia Blaylock
• Anna Leigh Blevens, RD
• Melanie Joy Bliss, PH.D.
• Dhana Blissett, RD, LD
• Blissful Living
• Alan Bruce Bloch, M.D.
• Willerdine Blue

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.