Blaine Theodos
NPI 1730019720 · Physical Therapist · Shreveport, LA
Blaine Theodos is a Physical Therapist provider in Shreveport, LA (NPI 1730019720).
Provider details
- NPI number
- 1730019720
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 12329 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Frequently asked questions
- What is Blaine Theodos's NPI number?
- Blaine Theodos's National Provider Identifier (NPI) is 1730019720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blaine Theodos's specialty?
- Blaine Theodos is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Blaine Theodos located?
- Blaine Theodos's practice location on file with NPPES is 663 Jordan St, Shreveport, LA 71101-4748.
- What is Blaine Theodos's phone number?
- The practice phone number listed in the NPPES registry for Blaine Theodos is (318) 222-8892.
- Is Blaine Theodos's NPI active?
- Yes — Blaine Theodos's NPI (1730019720) is active in the NPPES registry as of the last update on 2026-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.