Active NPIIndividual provider

Michael R Blanco, DPT

Physical Therapist in Closter, New Jersey

NPI Number1104553262
Practice location
31 Ver Valen St, Closter, NJ 07624-2699
Fax
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Last updated
August 8, 2022

Michael Ryan Blanco is a Physical Therapist based in Closter, NJ. Michael Ryan Blanco practices in Closter, NJ and has the professional credentials of DPT. The NPI Number for Michael Ryan Blanco is 1104553262 and holds a License No. 40QA02105400 (NJ). The current practice location address for Michael Ryan Blanco is 31 Ver Valen St, Closter, NJ 07624-2699 and can be reached out via phone at 201-784-2700.

Provider Profile Details

NPI Number
1104553262
Provider Name
Michael Ryan Blanco
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
31 Ver Valen St, Closter, NJ 07624-2699
Phone Number
201-784-2700
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2022
Last Update Date
August 8, 2022
Certification Date
August 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Ver Valen St
Closter, NJ 07624-2699
Zip
07624-2699
Phone Number
201-784-2700
Closter, NJ 07624Get directions →

Provider Business Mailing Address Details

Address
5 Austin Pl
Hasbrouck Heights, NJ 07604-1438
City
Hasbrouck Heights
State
NJ
Zip
07604-1438
Phone Number
201-220-9049

License Information

License Number
40QA02105400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael R Blanco, DPT?

The NPI number of Michael R Blanco, DPT is 1104553262. It was assigned on August 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Michael R Blanco, DPT?

Michael R Blanco, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02105400.

Where does Michael R Blanco, DPT practice?

The practice location is 31 Ver Valen St, Closter, NJ 07624-2699. The office can be reached at 201-784-2700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104553262 directly on the NPPES registry website.

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