ANDREA BLAYLOCK PT
NPI 1114619517
Physical Therapist - Geriatrics in Bartlett, TN

Q: What is Andrea Blaylock's NPI number?

The NPI number for Andrea Blaylock is 1114619517. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Q: What is Andrea Blaylock's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Blaylock was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2023

2795 CHARLES BRYAN RD, BARTLETT, TN 38134(901) 386-3211 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Andrea Blaylock Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BLAYLOCK PT (NPI 1114619517) is an individual geriatrics provider in Bartlett, Tennessee and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1114619517

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameANDREA BLAYLOCKCredential: PT

Location Address2795 CHARLES BRYAN RDBartlett, TN 38134-4773

Mailing Address8863 Silverbark DrGermantown, TN 38138-7369 · (901) 268-1004

Phone(901) 386-3211

Sole ProprietorNo

Enumeration DateMay 23, 2023

NPPES CertifiedMay 23, 2023

✔ NPI 1114619517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

2795 CHARLES BRYAN RD, Bartlett, TN 38134

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN BERRETTA

Physical Therapy Assistant