AUSTIN BLALOCK (NPI# 1689199671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689199671 |
| Entity Type | Individual |
| Full Name | AUSTIN BLALOCK |
| Credential | PT |
| Practice Address |
18301 N 79th Ave Glendale AZ 85308-8463 |
| Practice Telephone | 6234863333 |
| Practice Fax Number | 6234863333 |
| Mailing Telephone | 6234863333 |
| Mailing Fax Number | 6234863355 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 13214 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18301 N 79TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676165 | Gerald Barnes Harris II | Internal Medicine | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2005-08-15 |
| 1275074700 | Passport Health Holdings, LLC | Preventive Medicine | 18301 N 79th Ave, Ste D148, Glendale, AZ 85308-8479 | 2017-03-16 |
| 1720469182 | Preferred Physical Therapy, LLC | Physical Therapist | 18301 N 79th Ave, Ste B122, Glendale, AZ 85308-8463 | 2015-06-11 |
| 1639560816 | Rose Marie Mintz | Physician Assistant | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2015-02-10 |
| 1932535952 | Lee Ann Brady, LLC | Health Educator | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2013-09-23 |
| 1487093746 | Kyle Cornelius Gillespie | Podiatrist | 18301 N 79th Ave, Bldg F #168, Glendale, AZ 85308-8463 | 2013-06-20 |
| 1417223611 | Desert Sun Smiles, LLC | Dentist | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2012-04-02 |
| 1518242254 | Cheryl Dewood | Dentist | 18301 N 79th Ave, Suite F 164, Glendale, AZ 85308-8463 | 2011-10-13 |
| 1538454970 | Northwest Counseling and Associates LLC | Specialist | 18301 N 79th Ave, Ste. F170, Glendale, AZ 85308-8463 | 2011-06-14 |
| 1114228160 | Northwest Counseling & Associates | Specialist | 18301 N 79th Ave, Ste F170, Glendale, AZ 85308-8463 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 1013533546 | Samantha Emma Chang | Physical Therapist | 6320 W Union Hills Dr Ste 2200b, Glendale, AZ 85308-1375 | 2020-06-20 |
| 1295358828 | Moriah Morgan | Physical Therapist | 1111 N Brand Blvd Ste J&k, Glendale, CA 91202-3070 | 2020-05-18 |
| 1356963359 | Dina Mohamadjalal Alturk | Physical Therapist | 1049 Ruberta Ave Apt B, Glendale, CA 91201-3648 | 2020-05-12 |
| 1326677485 | Jenny Asim Gadia | Physical Therapist | 114 Olive St Apt 3, Glendale, CA 91206-4667 | 2020-04-02 |
| 1073149613 | Taylor Kitkowski | Physical Therapist | 9980 W Glendale Ave, Glendale, AZ 85307-3005 | 2020-03-16 |
| 1750913836 | St Anthony's Physical Therapy PC | Physical Therapist | 7214 67th Pl, Glendale, NY 11385-6957 | 2020-02-06 |
| 1558900944 | Athletico Ltd | Physical Therapist | 6070 W Bell Rd Ste A103, Glendale, AZ 85308-3774 | 2020-01-02 |
| 1962050054 | Barbara Unger Rector | Physical Therapist | 6911 N Longview Ave, Glendale, WI 53209-2917 | 2019-08-31 |
| 1013577865 | Andrew Vander Zwaag | Physical Therapist | 3780 W Happy Valley Rd Ste 120-122, Glendale, AZ 85310-3284 | 2019-06-14 |
| 1750846853 | Patrice Ella Ayala | Physical Therapist | 19889 North 59th Ave, Glendale, AZ 85308-6813 | 2019-02-04 |
| Find all providers in GLENDALE | ||||
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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.