MRS. AMY JO BLANFORD (NPI# 1336179712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336179712 |
| Entity Type | Individual |
| Full Name | MRS. AMY JO BLANFORD |
| Other Name | MS. AMY JO OWENS |
| Credential | PT |
| Practice Address |
1440 W Walnut St Building #2 Jacksonville IL 62650-1143 |
| Practice Telephone | 2172451455 |
| Practice Fax Number | 2172436903 |
| Mailing Telephone | 2172451455 |
| Mailing Fax Number | 2172436903 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070009519 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 141-989 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 5415281 | 01 |
| IL | GROUP PTAN | 216653 | 01 |
| Street Address |
1440 W WALNUT ST BUILDING #2 |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576829 | Peter Damon Russotto | Podiatrist | 1440 W Walnut St, #5, Jacksonville, IL 62650-1143 | 2005-08-24 |
| 1972023117 | Ethan Duewer | Dentist | 1440 W Walnut St, Jacksonville, IL 62650-1143 | 2017-06-20 |
| 1205282936 | Central Counties Health Centers, Inc. | Physician Assistant | 1440 W Walnut St, Suite 2, Jacksonville, IL 62650-1143 | 2016-05-12 |
| 1114322286 | Jersey Community Hospital | Pediatrics | 1440 W Walnut St, Suite 2a, Jacksonville, IL 62650-1143 | 2014-10-30 |
| 1891034294 | Illini Medical Associates, Sc | Pediatrics | 1440 W Walnut St, Ste 2a, Jacksonville, IL 62650-1143 | 2013-02-05 |
| 1558480418 | Physical Therapists Clinic,ltd | Clinic/Center | 1440 W Walnut St, Suite 2, Jacksonville, IL 62650-1143 | 2007-03-29 |
| 1083769475 | Physical Therapists Clinic, Ltd | Physical Therapist | 1440 W Walnut St, Suite2, Jacksonville, IL 62650-1143 | 2007-01-24 |
| 1174608533 | Donald Robert Beckett Jr. | Dentist | 1440 W Walnut St, Suite 2, Jacksonville, IL 62650 | 2006-10-26 |
| 1245203439 | Linda V Stevens-schilsky | Pediatrics | 1440 W Walnut St, Jacksonville, IL 62650 | 2006-02-09 |
| 1043299803 | Abby G Henry | Physical Therapist | 1440 W Walnut St, #2, Jacksonville, IL 62650-1143 | 2006-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| 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 |
|---|---|---|---|---|
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1609483361 | Coastal Concierge Physical Therapy LLC | Physical Therapist | 4213 Marblewood Ln, Jacksonville, FL 32216-3614 | 2020-09-28 |
| 1902413644 | Richard Myerston | Physical Therapist | 6650 Corporate Center Pkwy Apt 717, Jacksonville, FL 32216-8730 | 2020-09-27 |
| 1003422551 | Neuro Pt, Pllc | Physical Therapist | 8777 Hampshire Glen Dr S, Jacksonville, FL 32256-9568 | 2020-09-21 |
| 1811500796 | Michael Keagan Kretz | Physical Therapist | 6320 Saint Augustine Rd Ste 1, Jacksonville, FL 32217-2813 | 2020-08-28 |
| 1235741950 | Rachel Peters | Physical Therapist | 8214 Princeton Square Blvd E Apt 808, Jacksonville, FL 32256-8309 | 2020-08-24 |
| 1780293985 | Andrew Willie Oliver | Physical Therapist | 4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224-0255 | 2020-07-24 |
| 1821616004 | Andria Wilson | Physical Therapist | 11705 San Jose Blvd Ste 111, Jacksonville, FL 32223-1653 | 2020-07-14 |
| 1730701509 | Julie Anne Troche | Physical Therapist | 13421 Cedar Hammock Way, Jacksonville, FL 32226-4603 | 2020-05-14 |
| 1891335972 | Focus Physical Therapy Inc | Physical Therapist | 8301 Cypress Plaza Dr Ste 116, Jacksonville, FL 32256-4426 | 2020-01-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
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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.