Blake Ducos
Physical Therapist in Randolph, New Jersey
1578178604- Practice location
- 390 Route Nj 10, Suite 202, Randolph, NJ 07869
- Phone
- 973-895-9925
- Fax
- 973-895-9927
- Last updated
- September 15, 2020
Blake Ducos is a Physical Therapist based in Randolph, NJ. Blake Ducos practices in Randolph, NJ. The NPI Number for Blake Ducos is 1578178604 and holds a License No. 40QA01956200 (NJ). The current practice location address for Blake Ducos is 390 Route Nj 10, Suite 202, Randolph, NJ 07869 and can be reached out via phone at 973-895-9925 and via fax at 973-895-9927.
Provider Profile Details
- NPI Number
- 1578178604
- Provider Name
- Blake Ducos
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 390 Route Nj 10, Suite 202, Randolph, NJ 07869
- Phone Number
- 973-895-9925
- Fax Number
- 973-895-9927
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 15, 2020
- Last Update Date
- September 15, 2020
- Certification Date
- September 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 390 Route Nj 10
Suite 202
Randolph, NJ 07869 - City
- Randolph
- State
- New Jersey
- Zip
- 07869
- Phone Number
- 973-895-9925
- Fax Number
- 973-895-9927
Provider Business Mailing Address Details
- Address
- 576 Broadhollow RD
Melville, NY 11747-5002 - City
- Melville
- State
- NY
- Zip
- 11747-5002
- Phone Number
- 631-359-5859
License Information
- License Number
- 40QA01956200
- 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. | |||
Other Physical Therapists near Randolph, NJ
View all Physical Therapists in Randolph →- Aurora Pikunich, PT, DPTPhysical Therapist · NPI 1952784449
- Carmine Capalbo, DPTPhysical Therapist · NPI 1346922606
- Carrie A Knowlton, PT, DPTPhysical Therapist · NPI 1407178312
- Christina RafanelliPhysical Therapist · NPI 1356248447
- Daniel Tittamin, PT, DPTPhysical Therapist · NPI 1881142479
- Deanna Graziani, DPTPhysical Therapist · NPI 1740064112
Frequently Asked Questions
What is the NPI number of Blake Ducos?
The NPI number of Blake Ducos is 1578178604. It was assigned on September 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Blake Ducos?
Blake Ducos is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01956200.
Where does Blake Ducos practice?
The practice location is 390 Route Nj 10, Suite 202, Randolph, NJ 07869. The office can be reached at 973-895-9925 (phone) or 973-895-9927 (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 1578178604 directly on the NPPES registry website.