Active NPIIndividual providerSole proprietor

Tyler Bloniak, PT

Physical Therapist in Manchester, New Hampshire

NPI Number1699273078
Practice location
3000 Goffs Falls RD Ste 101, Manchester, NH 03103-6109
Fax
800-995-2673
Last updated
January 31, 2018

Tyler Bloniak is a Physical Therapist based in Manchester, NH. Tyler Bloniak practices in Manchester, NH and has the professional credentials of PT. The NPI Number for Tyler Bloniak is 1699273078 and holds a License No. 13261 (AZ). The current practice location address for Tyler Bloniak is 3000 Goffs Falls RD Ste 101, Manchester, NH 03103-6109 and can be reached out via phone at 800-995-2673 and via fax at 800-995-2673.

Provider Profile Details

NPI Number
1699273078
Provider Name
Tyler Bloniak
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
3000 Goffs Falls RD Ste 101, Manchester, NH 03103-6109
Phone Number
800-995-2673
Fax Number
800-995-2673
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2018
Last Update Date
January 31, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3000 Goffs Falls RD Ste 101
Manchester, NH 03103-6109
Zip
03103-6109
Phone Number
800-995-2673
Fax Number
800-995-2673
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
3000 Goffs Falls RD Ste 101
Manchester, NH 03103-6109
City
Manchester
State
NH
Zip
03103-6109
Phone Number
800-995-2673

License Information

License Number (1)
13261
License State (1)
AZ
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
294310
License State (2)
CA
Taxonomy (2)
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 Tyler Bloniak, PT?

The NPI number of Tyler Bloniak, PT is 1699273078. It was assigned on January 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Tyler Bloniak, PT?

Tyler Bloniak, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in AZ under license number 13261.

Where does Tyler Bloniak, PT practice?

The practice location is 3000 Goffs Falls RD Ste 101, Manchester, NH 03103-6109. The office can be reached at 800-995-2673 (phone) or 800-995-2673 (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 1699273078 directly on the NPPES registry website.

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