Jamie Jo Blum, PT, DPT
Individual provider Active NPI Physical Therapist · Manning, IA
NPI 1992965800 · NPPES record last updated Aug 6, 2012
Key facts
- NPI
- 1992965800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004227 (IA)
- Practice address
- 123 Main St
Suite B
Manning, IA 51455-1062 - Phone
- (712) 655-4433
- Fax
- (712) 655-4434
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Nebraska College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
123 Main St
Suite B
Manning, IA 51455-1062
Phone (712) 655-4433
123 Main St B
Manning, IA 51455-1062
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120808000129 | IA | Practitioner - Physical Therapist in Private Practice | 3779643739 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2644 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blum Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
123 Main St
Ste B
Manning, IA 51455
Phone (712) 655-4433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2644 | NE | |
| Physical Therapist | 225100000X | 004227 | IA | Yes |
Addresses
Primary practice location
123 Main St
Suite B
Manning, IA 51455-1062
Mailing address
PO Box 296
Manning, IA 51455-0296
Phone (712) 655-4433
Other providers in Manning, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.