Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992231732 Individual Practitioner Male Practitioner

Dr. Ethan Blankespoor , PT, DPT

Physical Therapist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Blankespoor, PT, DPT is a registered healthcare professional specializing in Physical Therapist in Bloomington, MN. Practice services are available at 3800 AMERICAN BLVD W # 200 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3800 American Blvd W # 200

Bloomington, MN 554314420

Telephone 9528318742
Associated Practice Facility / Clinic
🏢 Tria Orthopaedic Center Llc Facility NPI 1053314013

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
95 Specialists

Practicing in Bloomington, MN (5551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
71 13 $113.00 $29.89
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
59 11 $98.00 $26.97

Medical Specialties & State Licenses

CMS Verified: 2020-03-05
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MN 11163

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist - Orthopedic

NUCC Taxonomy Code: 2251X0800X

State License SD 1974

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Secondary Practice Locations

621 Science Dr

Madison, WI 537111074

Phone: 6082653341

2800 Chicago Ave Ste 200

Minneapolis, MN 55407

Phone: 6128722700

6605 Nicollet Ave

Richfield, MN 554232463

Phone: 6128722700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Breuer , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003315425

Certified Athletic Trainer

Dr. Eric Kaufmann , DPT

Physical Therapist

NPI 1013387646

Doctor of Physical Therapy

Kim Waterbury , MS, OTRL, CHT

Occupational Therapist

NPI 1023215720

Master of Science, Occupational Therapist Registered & Licensed, Certified Hand Therapist

Abigail Stignani

Physical Therapist

NPI 1023417292
Dr. Joshua Veenstra , MD

Orthopaedic Surgery

NPI 1023498177

Doctor of Medicine (M.D.)

Nancy Callinan , OT

Occupational Therapist - Hand

NPI 1033188222

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 05, 2020

Registered at 3800 AMERICAN BLVD W # 200, BLOOMINGTON, MN 554314420 (Tel: 9528318742)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Physical Therapist (License #1974 in SD)

📍
Updated Practice Location January 16, 2020

Registered at 6605 NICOLLET AVE, RICHFIELD, MN 554232463 (Tel: 6128722700)

📍
Updated Business Mailing Address January 16, 2020

Registered at 6605 NICOLLET AVE, RICHFIELD, MN 554232463 (Tel: 6128722700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2020

Physical Therapist (License #11163 in MN)

📍
Updated Practice Location April 17, 2019

Registered at 2800 CHICAGO AVE STE 200, MINNEAPOLIS, MN 55407 (Tel: 6128722700)

📍
Updated Business Mailing Address April 17, 2019

Registered at 7551 9TH ST N STE 100, OAKDALE, MN 551286628 (Tel: 6514384338)

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 621 SCIENCE DR, MADISON, WI 537111074 (Tel: 6082653341)

📍
Updated Business Mailing Address May 11, 2017

Registered at 621 SCIENCE DR, MADISON, WI 537111074 (Tel: 6082653341)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as ETHAN BLANKESPOOR, PT, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Physical Therapist (License #1974 in SD)

🟢
Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992231732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: March 05, 2020
Sole Proprietor: No

Mailing Address

6605 Nicollet Ave

Richfield, MN 554232463

Phone: 6128722700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.