MEDICARE: ALLISON MARIE BLIXT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40484

General Provider Information

NPI Number	:	1013699404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MARIE BLIXT

Provider Business Mailing Address
First Line	:	555 NE 8TH ST APT 608
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-2898
Country	:	US
Telephone Number	:	612-875-1957
Fax Number	:

Provider Business Practice Location Address
First Line	:	1332 N FEDERAL HWY
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-3730
Country	:	US
Telephone Number	:	954-667-3276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	01/05/2026

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Directions to “ ALLISON MARIE BLIXT ” Practice Location

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