Individual provider · Type 1 NPI

Bradley M. Blevins, PTA

Physical Therapy Assistant · Springfield, IL

NPI number 1629200548 Active

Practice location

2921 Greenbriar Dr, Suite B-2
Springfield, IL 62704-6421

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005226 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1629200548

Bradley M. Blevins, PTA's National Provider Identifier is 1629200548, issued on Aug 11, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Springfield, IL. The record was last updated on Aug 11, 2009.