Latasha R Blanton (NPI# 1518151091, PAC ID# 3476630757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1518151091 |
| PAC ID by PECOS | 3476630757 |
| Professional Enrollment ID | I20110103000145 |
| Full Name | Latasha R Blanton |
| Organization Legal Name | PERFORMANCE PHYSICAL THERAPY OF STAFFORD, LLC |
| Address |
2777 Jefferson Davis Hwy Stafford VA 22554-8232 |
| Phone Number | 5403188615 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4486842788 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2777 Jefferson Davis Hwy, Stafford, VA 22554-8232 | 5403188615 | PERFORMANCE PHYSICAL THERAPY OF STAFFORD, LLC |
| 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8232 | 5403188615 | PERFORMANCE PHYSICAL THERAPY OF STAFFORD, LLC |
| Organization Legal Name | PERFORMANCE PHYSICAL THERAPY OF STAFFORD, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thea Ellen Musantry | Physical Therapy | Performance Physical Therapy of Stafford, LLC | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8232 |
| Street Address |
2777 JEFFERSON DAVIS HWY |
| City | STAFFORD |
| State | VA |
| Zip | 22554-8232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Hicks | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 |
| Thea Ellen Musantry | Physical Therapy | Performance Physical Therapy of Stafford, LLC | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Edward Bryngelson | Chiropractic | 147 Garrisonville Rd, Stafford, VA 22554-1523 | |
| Steven M Chado | Optometry | Family Optometric Associates PC | 217 Garrisonville Rd, Stafford, VA 22554-1527 |
| Timothy L Edwards | Optometry | Family Optometric Associates PC | 217 Garrisonville Rd, Stafford, VA 22554-1527 |
| Carolina Hernandez | Internal Medicine | 450 Garrisonville Rd, Suite 215, Stafford, VA 22554-1532 | |
| Anjela Shrestha | Nurse Practitioner | Advanced Spine and Pain Pllc | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554-1532 |
| Claudine N Dupont | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 450 Garrisonville Rd, Suite 115, Stafford, VA 22554-1532 |
| Amie K Williams | Physical Therapy | Advanced Spine and Pain Pllc | 450 Garrisonville Rd, Stafford, VA 22554-1532 |
| Yvonne M Villarreal | Family Medicine | Embracing Health, Inc. | 385 Garrisonville Rd, Suite 211, Stafford, VA 22554-1545 |
| Russell W Williams | Family Medicine | Stafford Urgent Care Inc | 422 Garrisonville Rd, Suite 111, Stafford, VA 22554-1573 |
| James Desimone | Internal Medicine | 422 Garrisonville Rd, Suite 108, Stafford, VA 22554-1573 | |
| Find all physicians in zip 22554 | |||
| City | STAFFORD |
| Zip Code | 22554 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | STAFFORD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Latasha R Blanton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.