KATHRYN BLALOCK (NPI# 1477856284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477856284 |
| Entity Type | Individual |
| Full Name | KATHRYN BLALOCK |
| Credential | DPT |
| Practice Address |
704 Mowry Ave Fremont CA 94536-4115 |
| Mailing Address |
35565 Collier Pl Fremont CA 94536-3311 |
| Practice Telephone | 5107903213 |
| Mailing Telephone | 5103868360 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760708390 | Kathryn Lee Blalock | Social Worker | 1027 E 66th Pl, Tulsa, OK 74136-3701 | 2010-04-07 |
| Street Address |
704 MOWRY AVE |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114902699 | Todd Christopher Walker | Physical Therapist | 704 Mowry Ave, Fremont, CA 94536-4115 | 2005-12-07 |
| 1588086052 | Jerome Caladiao | Physical Therapist | 704 Mowry Ave, Fremont, CA 94536-4115 | 2014-01-17 |
| 1154497808 | Neeva Patel Walker | Physical Therapist | 704 Mowry Ave, Peak Performance Pt, Fremont, CA 94536 | 2006-11-27 |
| 1346348943 | Peak Performance Physical Therapy Inc | Clinic/Center | 704 Mowry Ave, Fremont, CA 94536-4115 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801951652 | Michelle K Nomura | Physical Therapist | 39180 Farwell Dr. Suite 101, Fremont, CA 94538 | 2006-12-22 |
| 1063482750 | Zachary J Girthoffer | Physical Therapist | 2740 N Clarkson St, Suite 200, Fremont, NE 68025-7716 | 2006-01-25 |
| 1366985699 | John Brackle | Physical Therapist | 3210 N Clarkson St, Fremont, NE 68025-2301 | 2016-11-17 |
| 1932596558 | Kimberly Huey | Physical Therapist | 194 Francisco Ln Ste 104, Fremont, CA 94539-7924 | 2015-04-21 |
| 1457681769 | Geeta Nasika | Physical Therapist | 39180 Farwell Dr, Fremont, CA 94538 | 2010-01-08 |
| 1083814123 | Amy Nicole Knight | Physical Therapist | 39201 State St, Fremont, CA 94538-1437 | 2007-07-18 |
| 1518000652 | Marci Claire Kneeter | Physical Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538 | 2007-02-15 |
| 1992870588 | Arleen Joyce Ballin | Physical Therapist | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-11-21 |
| 1619066677 | Ergo Rehabilitation Inc | Physical Therapist | 39201 State St, Fremont, CA 94538-1437 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| 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.