| Dr Benjamin Allen Blanton, DPT | |
|
2615 Woodruff Rd Ste 400, Simpsonville, SC 29681-6828 | |
| (864) 537-5016 | |
| (864) 302-8373 |
| Full Name | Dr Benjamin Allen Blanton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2615 Woodruff Rd Ste 400, Simpsonville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083400188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12812 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | (South Carolina) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Allen Blanton, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Dr Benjamin Allen Blanton, DPT 2615 Woodruff Rd Ste 400, Simpsonville, SC 29681-6828 Ph: (864) 537-5016 |
Mrs. Melynda Kosmos, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Felhurst Ct, Simpsonville, SC 29681 Phone: 864-412-8900 | |
Charlotte Walter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct # 110, Simpsonville, SC 29681 Phone: 864-525-2654 | |
Rosario Gomez-ochoa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 North Maple Street Ste10, Simpsonville, SC 29681 Phone: 864-757-9846 Fax: 864-757-9847 | |
Erin Elizabeth Parmelee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Plantation Dr, Simpsonville, SC 29681 Phone: 864-238-2334 | |
Katelyn Elizabeth Burn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-8110 | |
Holly Nichole Chittenden, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 200, Simpsonville, SC 29681 Phone: 864-454-6670 | |
Allen Ross Oronce, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 W Georgia Rd Ste 400, Simpsonville, SC 29680 Phone: 864-757-3053 |