Mr. Craig Blanda, MPT, CERTMDT
Physical Therapist in Logan Twp, New Jersey
1417905084- Practice location
- 520 Beckett RD, Suite 200, Logan Twp, NJ 08085-1732
- Phone
- 856-467-3421
- Fax
- 856-467-5731
- Last updated
- November 14, 2025
Craig Blanda is a Physical Therapist based in Logan Twp, NJ. Craig Blanda practices in Logan Twp, NJ and has the professional credentials of MPT, CERTMDT. The NPI Number for Craig Blanda is 1417905084 and holds a License No. 40QA00848400 (NJ). The current practice location address for Craig Blanda is 520 Beckett RD, Suite 200, Logan Twp, NJ 08085-1732 and can be reached out via phone at 856-467-3421 and via fax at 856-467-5731.
Provider Profile Details
- NPI Number
- 1417905084
- Provider Name
- Craig Blanda
- Credential
- MPT, CERTMDT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 520 Beckett RD, Suite 200, Logan Twp, NJ 08085-1732
- Phone Number
- 856-467-3421
- Fax Number
- 856-467-5731
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2006
- Last Update Date
- November 14, 2025
- Certification Date
- November 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 520 Beckett RD
Suite 200
Logan Twp, NJ 08085-1732 - City
- Logan Twp
- State
- New Jersey
- Zip
- 08085-1732
- Phone Number
- 856-467-3421
- Fax Number
- 856-467-5731
Provider Business Mailing Address Details
- Address
- 520 Beckett RD Ste 200
Logan Township, NJ 08085-1940 - City
- Logan Township
- State
- NJ
- Zip
- 08085-1940
- Phone Number
- 856-467-3421
- Fax Number
- 856-467-5731
License Information
- License Number
- 40QA00848400
- 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 Mr. Craig Blanda, MPT, CERTMDT?
The NPI number of Mr. Craig Blanda, MPT, CERTMDT is 1417905084. It was assigned on May 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Craig Blanda, MPT, CERTMDT?
Mr. Craig Blanda, MPT, CERTMDT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00848400.
Where does Mr. Craig Blanda, MPT, CERTMDT practice?
The practice location is 520 Beckett RD, Suite 200, Logan Twp, NJ 08085-1732. The office can be reached at 856-467-3421 (phone) or 856-467-5731 (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 1417905084 directly on the NPPES registry website.