Blake O Waterman, MPT
Physical Therapist in Hammonton, New Jersey
1245271865- Practice location
- 640 S White Horse Pike, Hammonton, NJ 08037-2014
- Phone
- 609-704-1980
- Fax
- 609-704-9054
- Last updated
- July 13, 2026
Blake O. Waterman is a Physical Therapist based in Hammonton, NJ. Blake O. Waterman practices in Hammonton, NJ and has the professional credentials of MPT. The NPI Number for Blake O. Waterman is 1245271865 and holds a License No. 40QA00583400 (NJ). The current practice location address for Blake O. Waterman is 640 S White Horse Pike, Hammonton, NJ 08037-2014 and can be reached out via phone at 609-704-1980 and via fax at 609-704-9054.
Provider Profile Details
- NPI Number
- 1245271865
- Provider Name
- Blake O. Waterman
- Credential
- MPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 640 S White Horse Pike, Hammonton, NJ 08037-2014
- Phone Number
- 609-704-1980
- Fax Number
- 609-704-9054
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 8, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 640 S White Horse Pike
Hammonton, NJ 08037-2014 - City
- Hammonton
- State
- New Jersey
- Zip
- 08037-2014
- Phone Number
- 609-704-1980
- Fax Number
- 609-704-9054
Provider Business Mailing Address Details
- Address
- Po Box 83
Hammonton, NJ 08037-0083 - City
- Hammonton
- State
- NJ
- Zip
- 08037-0083
- Phone Number
- 609-704-1980
- Fax Number
- 609-704-9054
License Information
- License Number
- 40QA00583400
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Blake O Waterman, MPT?
The NPI number of Blake O Waterman, MPT is 1245271865. It was assigned on June 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Blake O Waterman, MPT?
Blake O Waterman, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00583400.
Where does Blake O Waterman, MPT practice?
The practice location is 640 S White Horse Pike, Hammonton, NJ 08037-2014. The office can be reached at 609-704-1980 (phone) or 609-704-9054 (fax).
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 1245271865 directly on the NPPES registry website.