Kevin Blanchard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42443 Issued in CA

Practice address

3772 Mission Ave
Suite 122
Oceanside, CA 92058-1453

Phone

(760) 630-8400

NPI assigned

May 4, 2015

Sex

Male

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Balanced Home Health LLC

  • Physical Therapist
  • Encinitas, CA
  • NPI 1245851468
  Medicare reassignment Authorized official
• California Doctors of Physical Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Vista, CA
  • NPI 1891397147

  Physical Therapist

  Medicare reassignment NPD
• Direct Health Medical Center Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1376744649
  NPD (past)
• Direct Health Medical Center, Inc.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Oceanside, CA
  • NPI 1164742649
  NPD (past)

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1972980571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 MISSION AVE",
            "address_2": "SUITE 122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 MISSION AVE",
            "address_2": "SUITE 122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581453",
            "telephone_number": "760-630-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Blackburn
• Darren Blair, DPT
• Natalie Danielle Blair, MFT
• Marylou Blais
• Jeremy Daniel Blakespear, P.A.-C.
• Shamil Blanco Munoz
• Dumont Gary Blankenship, PH.D
• Sheila Marie Blecha, BSN, RN, PHN
• Loretta Simone Blevins, LPCC
• Hannah Rae Block, CMT

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.