JONATHAN DANIEL BLALOCK (NPI# 1609355569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609355569 |
| Entity Type | Individual |
| Full Name | JONATHAN DANIEL BLALOCK |
| Practice Address |
121 Shiloh Rd Asheville NC 28803-1626 |
| Mailing Address |
Po Box 802 Asheville NC 28802-0802 |
| Practice Telephone | 8282771315 |
| Mailing Telephone | 8282771315 |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2018-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 3564 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
121 SHILOH RD |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28803-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508965427 | Lindy Lee Monteleone | Counselor | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2006-09-21 |
| 1497258404 | Laurel Cales | Recreation Therapist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2018-03-15 |
| 1881137255 | Jennifer Ann Harr | Social Worker | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2016-12-02 |
| 1972953982 | Linda Wozniak | Dietitian, Registered | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2016-06-21 |
| 1053768416 | Chelsea Atkins | Behavioral Analyst | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2016-05-16 |
| 1992150924 | Carol Elizabeth Martin | Psychologist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2016-04-27 |
| 1780074732 | Susan Marie Ward | Specialist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2015-01-29 |
| 1184014250 | Randall Shaw | Recreation Therapist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2015-01-28 |
| 1235432428 | Ann Bush Odom | Social Worker | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2010-12-10 |
| 1710116942 | F.i.r.s.t. | Psychiatry & Neurology | 121 Shiloh Rd, Asheville, NC 28803 | 2009-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
| 1831735422 | Melzer and Associates-biltmore-pllc | Dentist | 1 Vanderbilt Park Dr., Ste: 220, Asheville, NC 28803 | 2019-11-19 |
| 1821632183 | Unified Therapies | Social Worker | 145 Charlotte Hwy, Suite 40, Asheville, NC 28803 | 2019-10-30 |
| 1558919969 | Revolution Access Inc | Contractor | 85 Shiloh Road, Unit 50, Asheville, NC 28803 | 2019-08-28 |
| 1427612621 | Anson Bruce Alvis | Student in an Organized Health Care Education/Training Program | Family Medicine, 123 Hendersonville Road, Asheville, NC 28803 | 2019-04-24 |
| 1457837569 | Haley Ellison Ward | Physician Assistant | 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 | 2018-07-12 |
| 1881188233 | Michelle Nicole Fronzaglia | Speech-Language Pathologist | 9 West Summit Ave, Asheville, NC 28803 | 2018-06-19 |
| 1164912515 | Susan Pethel | Physical Therapist | Southeastern Physical Therapy, LLC., 23 Turtle Creek Drive, Asheville, NC 28803 | 2018-05-11 |
| 1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
| 1639672181 | Goldman Medical P.a. | Psychiatry & Neurology | 1516 Kentmere Lane, Asheville, NC 28803 | 2018-03-12 |
| Find all providers in zip 28803 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497258404 | Laurel Cales | Recreation Therapist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2018-03-15 |
| 1184014250 | Randall Shaw | Recreation Therapist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356170 | Shaverence Lawanda Outlaw | Recreation Therapist | 3890 Old Vineyard Rd Apt 86b, Winston Salem, NC 27104-4880 | 2020-01-29 |
| 1043876493 | Home Again Senior Living Communities, LLC | Recreation Therapist | 1348 Westgate Center Dr, Winston Salem, NC 27103-2984 | 2019-05-10 |
| 1578037073 | Family First Physical Therapy L.L.C. | Recreation Therapist | 2726 Barringer Dr, Charlotte, NC 28208-7008 | 2019-01-17 |
| 1629593454 | Wesley Tyler | Recreation Therapist | 9139b Trinity Rd, Charlotte, NC 28216-1900 | 2017-08-14 |
| 1962923474 | Vernice Dolores Gallon Clyburn | Recreation Therapist | 126 S Rose Ave, Kannapolis, NC 28083-3552 | 2017-07-06 |
| 1316334618 | Shannon O'rawe | Recreation Therapist | 1707 Waterclose Ct, Apex, NC 27502-6264 | 2015-04-24 |
| 1073928685 | Allison Westpfahl | Recreation Therapist | 1208 Ben Williams Rd, Richlands, NC 28574-5128 | 2014-06-23 |
| 1467722736 | Melissa Sue Walker | Recreation Therapist | 6213 Lowergate Dr, Waxhaw, NC 28173-6747 | 2012-01-04 |
| 1881971174 | Melissa Hunt Lewis | Recreation Therapist | 4907 Creekside Dr, New Bern, NC 28562-5007 | 2011-11-15 |
| 1992002893 | Lois Stanga Harvin | Recreation Therapist | 1607 Temple St Sw, Valdese, NC 28690-9330 | 2011-02-12 |
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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.