BLAKE DEIST (NPI# 1568800571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568800571 |
| Entity Type | Individual |
| Full Name | BLAKE DEIST |
| Credential | DPT |
| Practice Address |
3050 Centre Pointe Dr Ste 200 Roseville MN 55113-1179 |
| Mailing Address |
7414 W 22nd St Apt 302 Saint Louis Park MN 55426-2641 |
| Practice Telephone | 8889746636 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3050 CENTRE POINTE DR STE 200 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689081697 | Jose A Alba Hernandez | Physical Therapist | 3050 Centre Pointe Dr Ste 200, Roseville, MN 55113-1179 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700960 | David Eric Malachowski Onne | Physical Therapist | 140 Diamond Creek Pl Unit 125, Roseville, CA 95747-7188 | 2020-11-05 |
| 1316584550 | Kathleen Villarreal | Physical Therapist | 1900 Blue Oaks Blvd Apt 1311, Roseville, CA 95747-8449 | 2019-12-06 |
| 1982264750 | John Patrick Azucena Gloria | Physical Therapist | 3016 Radiant Way, Roseville, CA 95747-8736 | 2019-06-14 |
| 1851865745 | Victor Svityashchuk | Physical Therapist | 1 Medical Plaza Dr # 6, Roseville, CA 95661-3037 | 2019-01-14 |
| 1679068563 | Carol Viano-nitschke | Physical Therapist | 1680 E Roseville Pkwy Unit 110, Roseville, CA 95661-3988 | 2018-06-25 |
| 1639675689 | Christine Michelle Nat | Physical Therapist | 400 Sunrise Ave # 190, Roseville, CA 95661-4106 | 2018-03-30 |
| 1558878918 | Jagdeep Garcha P.t | Physical Therapist | 1050 Opportunity Dr Ste 125, Roseville, CA 95678-3030 | 2018-01-08 |
| 1396265096 | Michael Falk | Physical Therapist | 2130 County Road C W, Roseville, MN 55113-2501 | 2017-06-23 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1598118275 | Victor Chow | Physical Therapist | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113 | 2016-07-19 |
| Find all providers in ROSEVILLE | ||||
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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.