GREGORY L BLASKE (NPI# 1982654133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982654133 |
| Entity Type | Individual |
| Full Name | GREGORY L BLASKE |
| Credential | P.T. |
| Practice Address |
3385 Dexter Ct Ste 203 Davenport IA 52807-3471 |
| Mailing Address |
850 43rd Ave Ste 100 Moline IL 61265-8401 |
| Practice Telephone | 5633329312 |
| Practice Fax Number | 5633329316 |
| Mailing Telephone | 3097432070 |
| Mailing Fax Number | 3097432073 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070-005511 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 01817 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS PT LICENSE NO. | 070-005511 | 01 |
| IA | IOWA PT LICENSE NUMBER | 01817 | 01 |
| Street Address |
3385 DEXTER CT STE 203 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396795506 | Erik M Jordahl | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-10 |
| 1063869048 | Jenna M Bush | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2016-05-19 |
| 1831137017 | Daniel A White | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-06-02 |
| 1083661540 | Tamara S Hermanson | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-30 |
| 1932153160 | Michele Kadavy | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-20 |
| 1538110077 | Michael J Horsfield | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-12 |
| 1417908997 | Kerri M Hurning | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-12 |
| 1952352312 | Mark J Levsen | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-12 |
| 1356391478 | Deana M Trotter | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-11 |
| 1497705651 | Jill A Kluver | Physical Therapist | 3385 Dexter Ct Ste 203, Davenport, IA 52807-3471 | 2006-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1497374342 | Stacie Paolillo Barranco | Physical Therapist | 40124 Highway 27 Ste 103, Davenport, FL 33837-5905 | 2020-04-10 |
| 1851929327 | Joshua Taylor Metivier | Physical Therapist | 2819 Fairhaven Rd, Davenport, IA 52803-2227 | 2020-03-31 |
| 1336775865 | Adam Acheson | Physical Therapist | 1575 W 53rd St, Davenport, IA 52806-2448 | 2020-03-17 |
| 1134780216 | Thiago Ferretti Monteiro | Physical Therapist | 240 Kenbrook Way Apt 302, Davenport, FL 33896-5533 | 2019-06-27 |
| 1558879288 | Laura Moorman | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804-3535 | 2018-01-16 |
| 1417316225 | Durable Medical Equipment Specialists | Physical Therapist | 104 Park Place Blvd, Suite B, Davenport, FL 33837-6866 | 2016-02-22 |
| 1205293214 | Meghan E Buchanan | Physical Therapist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2016-01-21 |
| 1811204472 | Amanda Hook | Physical Therapist | 2758 E Pleasant St, Davenport, IA 52803-3433 | 2010-09-02 |
| 1508186180 | Abby R Hovey | Physical Therapist | 3385 Dexter Ct Ste 201, Davenport, IA 52807-3471 | 2010-06-07 |
| 1679804868 | Kimberly Cobb | Physical Therapist | 4624 Progress Dr Ste A, Davenport, IA 52807-3490 | 2010-01-27 |
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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.