MRS. AMY JO BLANFORD (PT) – Physical Therapist, NPI 1336179712

MRS. AMY JO BLANFORD (PT) is a healthcare provider. based in Jacksonville, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070009519 (IL). The NPI Number for MRS. AMY JO BLANFORD (PT) is 1336179712

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY JO BLANFORD (PT)
NPI
1336179712
Phone
(217) 245-1455
Address
1440 W WALNUT ST
Enumeration Date
3 July 2006
Last Update Date
11 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173500361
Graduation Year
1995 (31 years ago)
PAC ID
2365463452
Group Practice PAC ID
2264423458
Professional Enrollment ID
I20051216000434
Address ID
IL626188092BE1350XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MRS. AMY JO BLANFORD (PT)

  • 1440, West Walnut Street, Jacksonville, Morgan County, Illinois, 62650, United States

    BUILDING #2

    JACKSONVILLE, IL 626501143

    Phone: (217) 245-1455

    Fax: (217) 243-6903

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051216000434IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,13369$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes50064$0
97140Therapy procedure using manual technique, each 15 minutes42958$0
97530Therapy procedure using functional activities24743$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16824$0
View full utilization report →

Insurance plans in this area (ZIP 62650)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264423458View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeKY
-IL
-KY
Physical Therapist In Private PracticeFL
-MO
-ME
Physical Therapist In Private PracticeKY
-FL
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What federal number belongs to MRS. AMY JO BLANFORD (PT)?
The federal identifier for MRS. AMY JO BLANFORD (PT) is NPI 1336179712.
Is MRS. AMY JO BLANFORD (PT)'s NPI currently valid?
The extract we use shows MRS. AMY JO BLANFORD (PT) as active.
What does MRS. AMY JO BLANFORD (PT) treat or focus on?
Patients typically see MRS. AMY JO BLANFORD (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. AMY JO BLANFORD (PT)?
The snapshot lists Jacksonville, Illinois for MRS. AMY JO BLANFORD (PT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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