DR. BLAKE TESTA (NPI# 1295162006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295162006 |
| Entity Type | Individual |
| Full Name | DR. BLAKE TESTA |
| Credential | D.C. |
| Practice Address |
2663 12th St Se Salem OR 97302-2154 |
| Practice Telephone | 5033711120 |
| Mailing Telephone | 5033711120 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5509 | OR | Chiropractic Providers |
| Street Address |
2663 12TH ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157310 | Eric Paul Williams | Chiropractor | 322 W Schwartz St, Salem, IL 62881-1550 | 2005-07-13 |
| 1033379573 | Kennedy Chiropractic Inc. | Chiropractor | 1461 W Main St, Salem, VA 24153-3120 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381140 | Tyler Miller | Chiropractor | 455 Nw Wanapa St, Cascade Locks, OR 97014 | 2018-06-28 |
| 1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
| 1871039768 | Sissel Holloway | Chiropractor | 501 Portway Ave Ste 203, Hood River, OR 97031-1288 | 2017-01-16 |
| 1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
| 1588079776 | Function Performance Sport Chiropractic LLC | Chiropractor | 502 7th St Ste 100, Oregon City, OR 97045-2246 | 2014-06-25 |
| 1396182580 | Katherine M Sill | Chiropractor | 2820 E Main St, Hillsboro, OR 97123-7068 | 2013-05-28 |
| 1376883728 | Halsy James Carter | Chiropractor | 12700swnorth Dakota St 180, Tigard, OR 97223-0802 | 2013-02-21 |
| 1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
| 1275804171 | Dewar Chiropractic, LLC | Chiropractor | 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 | 2012-01-24 |
| 1982971529 | Adam Arthur Meisenhelder | Chiropractor | 11385 Sw Scholls Ferry Rd., Beaverton, OR 97008-7168 | 2011-11-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.