Provider Profile

Blaine M. Theodos

Unclaimed Profile

About Blaine Theodos

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Education & Training

School Other Graduated: 2026

Specialty

Physical Therapist (Primary)

Credentials & Licensing

LA license12329
NPI1730019720
NPI issued05/21/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Blaine M. Theodos's specialty?

Blaine M. Theodos is a physical therapist in Shreveport, LA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Blaine M. Theodos?

Blaine M. Theodos is listed at 663 Jordan St, Shreveport, LA 71101. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Blaine M. Theodos?

The number on file is (318) 222-8892. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Blaine M. Theodos's NPI number?

Blaine M. Theodos's National Provider Identifier is 1730019720. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Blaine M. Theodos's education?

Blaine M. Theodos attended Other, graduating in 2026. This comes from the CMS National Downloadable File.

CMS public data

How long has Blaine M. Theodos been practicing?

Blaine M. Theodos has 0 years experience. Calculated from a graduation year of 2026, reported in the CMS National Downloadable File.

CMS public data

Has Blaine M. Theodos confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Blaine M. Theodos. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.