ROBERT CORY BLICKENSTAFF PT
NPI 1760478762
Physical Therapist in Vancouver, WA

Active since September 25, 2005
717 NE 61ST ST, SUITE 203, VANCOUVER, WA 98665(360) 600-2272(877) 362-9612 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physical Therapist

About ROBERT BLICKENSTAFF

This page provides the complete NPI Profile along with additional information for Robert Blickenstaff, a provider established in Vancouver, Washington with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1760478762 assigned on September 2005. The practitioner's primary taxonomy code is 225100000X with license number PT00009330 (WA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1760478762 Verify this NPI
Provider Name
ROBERT CORY BLICKENSTAFF PT
Gender
Male
Entity Type
Individual
Location Address
717 NE 61ST ST SUITE 203 VANCOUVER, WA 98665
Location Phone
(360) 600-2272
Location Fax
(877) 362-9612
Mailing Address
13023 NE HIGHWAY 99 SUITE 7 PMB 109 VANCOUVER, WA 98686
Mailing Phone
(360) 600-2272
Mailing Fax
(877) 362-9612
Is Sole Proprietor?
No
Enumeration Date
09-25-2005
Last Update Date
04-06-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT00009330
License State
WA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8382467MEDICAID (05)WA 
G8865658MEDICARE PIN (08)WA 
Q08324MEDICARE UPIN (02) 
232559MEDICAID (05)OR 
179487OTHER (01)WALABOR & IND.

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Massage Therapist
717 NE 61ST ST, 102
VANCOUVER, WA 98665
Massage Therapist
717 NE 61ST ST, SUITE 102
VANCOUVER, WA 98665
Community Health Worker
717 NE 61ST ST, #100
VANCOUVER, WA 98665
Counselor
717 NE 61ST ST, #202
VANCOUVER, WA 98665
Counselor
717 NE 61ST ST, #202
VANCOUVER, WA 98665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760478762, enumerated as an "individual" on September 25, 2005.

The provider is located at 717 NE 61ST ST SUITE 203 VANCOUVER, WA 98665 and the phone number is (360) 600-2272.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.