Micheal Patrick Blizniak, DPT | |
8301 161st Ave Ne, Suite 103, Redmond, WA 98052-3858 | |
(425) 284-1767 | |
(425) 284-3302 |
Full Name | Micheal Patrick Blizniak |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 8301 161st Ave Ne, Redmond, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124324611 | NPI | - | NPPES |
500652523 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60194846 (Washington) | Primary |
225100000X | Physical Therapist | 60019 (Oregon) | Secondary |
Provider Name | Peak Performance Sports And Spine |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134192685 PECOS PAC ID: 5294753588 Enrollment ID: O20051104000429 |
Mailing Address | Practice Location Address |
---|---|
Micheal Patrick Blizniak, DPT 8301 161st Ave Ne, Suite 103, Redmond, WA 98052-3858 Ph: (425) 284-1767 | Micheal Patrick Blizniak, DPT 8301 161st Ave Ne, Suite 103, Redmond, WA 98052-3858 Ph: (425) 284-1767 |
Maureen Patricia Madden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2569 152nd Ave Ne, Redmond, WA 98052 Phone: 425-497-8180 | |
Darshita Dalal, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14961 Ne 95th St, Redmond, WA 98052 Phone: 206-856-9305 | |
Madison Haley Engel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8630 164th Ave Ne Ste 203, Redmond, WA 98052 Phone: 425-658-4980 | |
Gira Shah, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24380 Ne 26th Ct, Redmond, WA 98074 Phone: 770-833-9112 | |
Ramon F Engracia Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052 Phone: 425-882-6100 Fax: 425-882-7690 | |
Emily J Adelson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15809 Bear Creek Pkwy Ste 200, Redmond, WA 98052 Phone: 425-882-6100 Fax: 425-882-7690 | |
Emily Carol Bohannan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8630 164th Ave Ne Ste 203, Redmond, WA 98052 Phone: 425-658-4980 |