Mr. Michael Wayne Blomstrom, PTA
Mr. Michael Wayne Blomstrom is a Physical Therapy Assistant provider (Physical Therapy Assistant) practicing in Moore, OK, registered in the NPPES registry with NPI 1104944495 since 2007.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104944495 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Michael Wayne Blomstrom |
| Credential | PTA |
| Sex | Male |
| Practice address | 2111 RIVERWALK DR, Moore, OK, 73160 |
| Phone | 4057937885 |
| Enumeration date | 2007-03-26 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | Primary | TA691 | OK |
Copy-ready billing details
Provider: Michael Blomstrom, PTA NPI: 1104944495 Taxonomy: 225200000X (Physical Therapy Assistant) Address: 2111 RIVERWALK DR, Moore, OK, 73160
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639212434 | Matthew Greenroyd | Individual | Physical Therapist | Moore, OK |
| 1508909318 | Sheryl Schelkun | Individual | Physical Therapist | Moore, OK |
| 1578607735 | Jill Tepker | Individual | Physical Therapist | Moore, OK |
| 1912198813 | Jennifer Alexander | Individual | Physical Therapist | Moore, OK |
| 1750564654 | Anna Rousseau-Denton | Individual | Physical Therapy Assistant | Moore, OK |
| 1992004238 | Keri Jackson | Individual | Physical Therapist | Moore, OK |
| 1255626289 | Mylee Nguyen | Individual | Physical Therapist | Moore, OK |
| 1538439286 | Integris Jim Thorpe Rehabilitation Moore | Organization | Physical Therapy Clinic/Center | Moore, OK |
Verify this record
Cross-check NPI 1104944495 against the authoritative CMS record: view Mr. Michael Wayne Blomstrom on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.