Active NPIIndividual provider

Jacobus Blom

Physical Therapist in Manchester, Maine

NPI Number1114301843
Practice location
40 Granite Hill RD, Manchester, ME 04351-3513
Fax
—
Last updated
July 13, 2015

Jacobus Blom is a Physical Therapist based in Manchester, ME. Jacobus Blom practices in Manchester, ME. The NPI Number for Jacobus Blom is 1114301843 and holds a License No. PT2764 (ME). The current practice location address for Jacobus Blom is 40 Granite Hill RD, Manchester, ME 04351-3513 and can be reached out via phone at 207-626-7222.

Provider Profile Details

NPI Number
1114301843
Provider Name
Jacobus Blom
Provider Entity Type
Individual
Gender
Male
Address
40 Granite Hill RD, Manchester, ME 04351-3513
Phone Number
207-626-7222
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2015
Last Update Date
July 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Granite Hill RD
Manchester, ME 04351-3513
State
Maine
Zip
04351-3513
Phone Number
207-626-7222
Manchester, ME 04351Get directions →

Provider Business Mailing Address Details

Address
40 Granite Hill RD
Manchester, ME 04351-3513
City
Manchester
State
ME
Zip
04351-3513
Phone Number
207-626-7222

License Information

License Number
PT2764
License State
ME
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 Jacobus Blom?

The NPI number of Jacobus Blom is 1114301843. It was assigned on July 13, 2015 and is currently active in the NPPES registry.

What is the specialty of Jacobus Blom?

Jacobus Blom is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT2764.

Where does Jacobus Blom practice?

The practice location is 40 Granite Hill RD, Manchester, ME 04351-3513. The office can be reached at 207-626-7222 (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 1114301843 directly on the NPPES registry website.

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