MR. BRADLEY M. BLEVINS (NPI# 1629200548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629200548 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY M. BLEVINS |
| Credential | PTA |
| Practice Address |
2921 Greenbriar Dr Suite B-2 Springfield IL 62704-6421 |
| Practice Telephone | 2175463301 |
| Mailing Telephone | 2175463301 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160.005226 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2921 GREENBRIAR DR SUITE B-2 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024136 | Patricia Reichart | Nurse Practitioner | 2921 Greenbriar Dr, Ste C, Springfield, IL 62704 | 2005-09-26 |
| 1194128389 | Cheryl Lee Affrunti | Psychologist | 2921 Greenbriar Dr, Ste. B-1, Springfield, IL 62704-6421 | 2014-10-01 |
| 1396084653 | Kristen Lyn Wade | Physical Therapist | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2013-02-06 |
| 1639447295 | Darrell B Simmermaker | Physical Therapy Assistant | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2011-12-09 |
| 1386923043 | Laurie Ann Salvacion | Physical Therapist | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2011-08-12 |
| 1235421603 | Craig A Backs Md LLC | Internal Medicine | 2921 Greenbriar Dr, Suite C, Springfield, IL 62704-6421 | 2011-05-04 |
| 1801957055 | Physiotherapy Professionals LLC | Physical Therapist | 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 | 2006-12-12 |
| 1124043252 | Craig A Backs | Internal Medicine | 2921 Greenbriar Dr, Springfield, IL 62704-6421 | 2006-07-12 |
| 1548212145 | Richard E Dimond | Psychologist | 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 | 2006-05-16 |
| 1841242450 | Keith L. Buescher | Psychologist | 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1841819356 | Emily Conover | Physical Therapy Assistant | 3342 S Valley View Dr, Springfield, MO 65807-8504 | 2020-04-14 |
| 1700421393 | Kim Annette Ybarbo | Physical Therapy Assistant | 1266 E Cambridge St, Springfield, MO 65804-3611 | 2019-11-07 |
| 1679121339 | Michael Barry Soden | Physical Therapy Assistant | 50 Kipling St, Springfield, MA 01118-1228 | 2019-08-27 |
| 1902376122 | Maria C Lippencott | Physical Therapy Assistant | 970 Timberview Ave, Springfield, OH 45502-7966 | 2018-11-30 |
| 1992287478 | Trevor Wayne Love | Physical Therapy Assistant | 2211 E Claiborne St, Springfield, MO 65804-3823 | 2018-08-31 |
| 1730677857 | Addolorata Dally | Physical Therapy Assistant | 113 Madison Ter, Springfield, NJ 07081-3410 | 2018-04-24 |
| 1457866931 | Kortney Pope | Physical Therapy Assistant | 5087 Windland Dr, Springfield, TN 37172-6092 | 2017-12-06 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1013389998 | Sarah Teague | Physical Therapy Assistant | 631 Foxtail Ln, Springfield, IL 62707-8596 | 2015-10-30 |
| 1710363783 | Don Dewald Jr. | Physical Therapy Assistant | 1418 Providence Ave, Springfield, OH 45503-1519 | 2015-07-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.