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

Lisa Renee Blenkle, PT

Individual provider Geriatric Physical Therapist · NPI 1548469349

Lisa Renee Blenkle, PT is a Physical Therapist in Private Practice in Gilbert, Arizona. Qualified in 2000, 26 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
26
Licensed in
AZ, CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4929 S Val Vista Dr
Gilbert, AZ 85298-0664
Phone: (480) 590-6921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence LPT-31502 (AZ)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence PT 25362 (CA)

Record details

NPI number1548469349
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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