MRS. TIFFANY BLASA (PT) – Community Health Worker, NPI 1538347810

MRS. TIFFANY BLASA (PT) is a healthcare provider. based in Mt vernon, Illinois. specializing in Community Health Worker. They hold the professional credentials PT. The NPI Number for MRS. TIFFANY BLASA (PT) is 1538347810

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TIFFANY BLASA (PT)
NPI
1538347810
Phone
(618) 978-8456
Address
16870 NORTH HARMONY LANE
Enumeration Date
8 February 2008
Last Update Date
8 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184621133
Graduation Year
2003 (23 years ago)
PAC ID
9830148311
Group Practice PAC ID
0941334213
Professional Enrollment ID
I20050121000811
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

Provider Addresses for MRS. TIFFANY BLASA (PT)

  • 16870 NORTH HARMONY LANE

    MT VERNON, IL 62864

    Phone: (618) 978-8456

    Fax: (618) 548-4902

    Type: Mailing

  • 1201 RICKER RD

    SALEM, IL 628814263

    Phone: (618) 548-3194

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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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: 0941334213View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMN
-IL
Occupational Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the standard ID for MRS. TIFFANY BLASA (PT) in the U.S.?
In the U.S., MRS. TIFFANY BLASA (PT) is identified by NPI 1538347810.
Does the public listing show MRS. TIFFANY BLASA (PT) as active?
MRS. TIFFANY BLASA (PT)'s NPI record reflects an active status in NPPES.
How should patients interpret MRS. TIFFANY BLASA (PT)'s specialty?
The extract shows Community Health Worker for MRS. TIFFANY BLASA (PT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. TIFFANY BLASA (PT)?
MRS. TIFFANY BLASA (PT) is associated with Mt Vernon, Illinois in the same public data insurers reference.
Who maintains MRS. TIFFANY BLASA (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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