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

Jonathan Blaise

Individual provider Physical Therapy Assistant · NPI 1508594912

Jonathan Blaise is a Physical Therapy Assistant in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
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Practice location Address checks out

400 N Boone St
Johnson City, TN 37604
Phone: (423) 929-2900
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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 8222 (TN)

Record details

NPI number1508594912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 9, 2022
Mailing address3004 Shelby St, Bristol, TN 37620-3478

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