Ian Kornbluth, MPT
Physical Therapist in Princeton, New Jersey
1326199316- Practice location
- 800 Bunn Dr Ste 102, Princeton, NJ 08540-1968
- Phone
- 800-455-8982
- Fax
- 609-644-3817
- Last updated
- October 20, 2019
Ian Kornbluth is a Physical Therapist based in Princeton, NJ. Ian Kornbluth practices in Princeton, NJ and has the professional credentials of MPT. The NPI Number for Ian Kornbluth is 1326199316 and holds a License No. 40QA00849800 (NJ). The current practice location address for Ian Kornbluth is 800 Bunn Dr Ste 102, Princeton, NJ 08540-1968 and can be reached out via phone at 800-455-8982 and via fax at 609-644-3817.
Provider Profile Details
- NPI Number
- 1326199316
- Provider Name
- Ian Kornbluth
- Credential
- MPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 800 Bunn Dr Ste 102, Princeton, NJ 08540-1968
- Phone Number
- 800-455-8982
- Fax Number
- 609-644-3817
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 16, 2007
- Last Update Date
- October 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Bunn Dr Ste 102
Princeton, NJ 08540-1968 - City
- Princeton
- State
- New Jersey
- Zip
- 08540-1968
- Phone Number
- 800-455-8982
- Fax Number
- 609-644-3817
Provider Business Mailing Address Details
- Address
- 21416 N 38TH Pl
Phoenix, AZ 85050-4969 - City
- Phoenix
- State
- AZ
- Zip
- 85050-4969
- Phone Number
- 609-651-3155
- Fax Number
- 609-644-3817
License Information
- License Number (1)
- 40QA00849800
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- LPT-013539
- License State (2)
- AZ
- Taxonomy (2)
- 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 Ian Kornbluth, MPT?
The NPI number of Ian Kornbluth, MPT is 1326199316. It was assigned on January 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Ian Kornbluth, MPT?
Ian Kornbluth, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00849800.
Where does Ian Kornbluth, MPT practice?
The practice location is 800 Bunn Dr Ste 102, Princeton, NJ 08540-1968. The office can be reached at 800-455-8982 (phone) or 609-644-3817 (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 1326199316 directly on the NPPES registry website.