Jeanine Blanks

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1059541 Issued in TX

Practice address

1305 Cabaniss LN # 2
Weatherford, TX 76088-5800

Phone

(817) 692-1700

NPI assigned

Jul 24, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeanine.blanks.2@6815.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Something Amazing Home Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1104457944

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1972157360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CABANISS LN # 2",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760885800",
            "telephone_number": "817-692-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CABANISS LN # 2",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760885800",
            "telephone_number": "817-692-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKS",
        "first_name": "JEANINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1059541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanine.blanks@kindredathome.com",
            "affiliation": "N",
            "address_1": "1305 Cabaniss Ln # 2",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760885800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas C Binzer, M.D.
• Bio-Medical Applications of Texas, Inc.
• Susan Elizabeth Black, LVN
• Beverly Diana Blair
• Ashley Bland, MS CCC SLP
• Katrina Blanton, MS, CCC-SLP
• Amanda May Blevins, NP
• Christina Blevins, CCC-SLP
• Blue City LLC
• Manila Bobba, PA-C

• All providers in Weatherford, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.