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1497418560 NPI number — MORGAN BETHANNE BLODGETT DPT

NPI Number: 1497418560
Health Care Provider/Practitioner: MORGAN BETHANNE BLODGETT DPT

Information about “1497418560” NPI (MORGAN BETHANNE BLODGETT DPT) exists in 1497418560 in HTML format HTML  |  1497418560 in plain Text format TXT  |  1497418560 in PDF (Portable Document Format) PDF  |  1497418560 in an XML format XML  formats.

NPI Number : 1497418560 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497418560",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLODGETT",
    "FirstName": "MORGAN",
    "MiddleName": "BETHANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PERRIN",
    "OtherFirstName": "MORGAN",
    "OtherMiddleName": "BETHANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "229 PARRISH ST STE 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CANANDAIGUA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14424-1791",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-394-3920",
    "MailingAddressFaxNumber": "585-394-3997",
    "FirstLinePracticeLocationAddress": "229 PARRISH ST STE 220",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANANDAIGUA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14424-1791",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-394-3920",
    "PracticeLocationAddressFaxNumber": "585-394-3997",
    "EnumerationDate": "10/15/2021",
    "LastUpdateDate": "07/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "28707",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "303979",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "188544",
          "LicenseNumberStateCode": "AK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "047758",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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