Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine Alan Scholes, PTA

Individual provider Physical Therapy Assistant · NPI 1760122485

Blaine Alan Scholes, PTA is a Physical Therapy Assistant in Glen Carbon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

400 S Station Rd
Glen Carbon, IL 62034-2743
Phone: (618) 288-5014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008256 (IL)

Record details

NPI number1760122485
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

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