| Lisa Renee Blenkle, PT | |
|
4929 S Val Vista Dr, Gilbert, AZ 85298-0664 | |
| (480) 590-6921 | |
| Not Available |
| Full Name | Lisa Renee Blenkle |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Geriatrics |
| Location | 4929 S Val Vista Dr, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548469349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | PT 25362 (California) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | LPT-31502 (Arizona) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336770221 PECOS PAC ID: 2163339722 Enrollment ID: O20200305001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Renee Blenkle, PT 4929 S Val Vista Dr, Gilbert, AZ 85298-0664 Ph: (480) 590-6921 | Lisa Renee Blenkle, PT 4929 S Val Vista Dr, Gilbert, AZ 85298-0664 Ph: (480) 590-6921 |
Manar Kazar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13839 E Morgan Dr, Gilbert, AZ 85295 Phone: 480-899-0612 | |
Anastasia Schmaltz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3336 E Chandler Heights Rd, Suite 126, Gilbert, AZ 85298 Phone: 480-940-6125 Fax: 480-840-6122 | |
Andrew Ballard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 413 E Tremaine Ave, Gilbert, AZ 85234 Phone: 602-550-4730 | |
John Anthony Volk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 S Gilbert Rd, Gilbert, AZ 85296 Phone: 480-558-5131 | |
Melissa Charlotte Marviglia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3341 E Queen Creek Rd, Suite 109, Gilbert, AZ 85297 Phone: 480-621-8361 Fax: 480-621-8513 | |
Nathan A West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3921 E Baseline Rd, Ste 105, Gilbert, AZ 85234 Phone: 480-503-2373 Fax: 480-503-2375 | |
Mr. Brian D Long, PT/ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 480-964-2908 Fax: 480-833-2136 |