DR. ETHAN BLANKESPOOR (PT, DPT) – Physical Therapist, NPI 1992231732

DR. ETHAN BLANKESPOOR (PT, DPT) is a healthcare provider. based in Madison, Wisconsin. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 1974 (SD). The NPI Number for DR. ETHAN BLANKESPOOR (PT, DPT) is 1992231732

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN BLANKESPOOR (PT, DPT)
NPI
1992231732
Phone
(608) 265-3341
Address
621 Science Dr
Enumeration Date
11 May 2017
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
2014 (12 years ago)
PAC ID
0143571208
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20180928001823
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for DR. ETHAN BLANKESPOOR (PT, DPT)

  • 621 Science Dr

    Madison, WI 537111074

    Phone: (608) 265-3341

    Type: Location

  • 2800 Chicago Ave Ste 200

    Minneapolis, MN 55407

    Phone: (612) 872-2700

    Fax: (612) 872-2712

    Type: Location

  • 6605 Nicollet Ave

    Richfield, MN 554232463

    Phone: (612) 872-2700

    Type: Location

  • 200, American Boulevard West, Bloomington, Hennepin County, Minnesota, 55420, United States

    BLOOMINGTON, MN 554314420

    Phone: (952) 831-8742

    Type: Location

  • Nicollet Avenue, Richfield, Hennepin County, Minnesota, 55423, United States

    RICHFIELD, MN 554232463

    Phone: (612) 872-2700

    Type: Mailing

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 53711)

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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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

Can I verify DR. ETHAN BLANKESPOOR (PT, DPT) with an NPI only?
You can start verification with NPI 1992231732 for DR. ETHAN BLANKESPOOR (PT, DPT), then check state licensing separately.
Is DR. ETHAN BLANKESPOOR (PT, DPT) listed as active for patients and plans?
The listing shows DR. ETHAN BLANKESPOOR (PT, DPT) as active in the NPI system.
What is DR. ETHAN BLANKESPOOR (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for DR. ETHAN BLANKESPOOR (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ETHAN BLANKESPOOR (PT, DPT)?
DR. ETHAN BLANKESPOOR (PT, DPT)'s geographic hint is Madison, Wisconsin in our summary view.
Why does DR. ETHAN BLANKESPOOR (PT, DPT) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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