Active NPIIndividual providerSole proprietor

Mr. Jason D Blazer, MS, PT

Physical Therapist in Darien, Connecticut

NPI Number1750331088
Practice location
264 Heights RD, Darien, CT 06820-4122
Fax
203-655-2859
Last updated
October 17, 2007

Jason David Blazer is a Physical Therapist based in Darien, CT. Jason David Blazer practices in Darien, CT and has the professional credentials of MS, PT. The NPI Number for Jason David Blazer is 1750331088 and holds a License No. 005925 (CT). The current practice location address for Jason David Blazer is 264 Heights RD, Darien, CT 06820-4122 and can be reached out via phone at 203-655-6464 and via fax at 203-655-2859.

Provider Profile Details

NPI Number
1750331088
Provider Name
Jason David Blazer
Credential
MS, PT
Provider Entity Type
Individual
Gender
Male
Address
264 Heights RD, Darien, CT 06820-4122
Phone Number
203-655-6464
Fax Number
203-655-2859
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2006
Last Update Date
October 17, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
264 Heights RD
Darien, CT 06820-4122
City
Darien
Zip
06820-4122
Phone Number
203-655-6464
Fax Number
203-655-2859
Darien, CT 06820Get directions →

Provider Business Mailing Address Details

Address
264 Heights RD
Darien, CT 06820-4122
City
Darien
State
CT
Zip
06820-4122
Phone Number
203-655-6464
Fax Number
203-655-2859

License Information

License Number
005925
License State
CT
Taxonomy
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 Mr. Jason D Blazer, MS, PT?

The NPI number of Mr. Jason D Blazer, MS, PT is 1750331088. It was assigned on May 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason D Blazer, MS, PT?

Mr. Jason D Blazer, MS, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 005925.

Where does Mr. Jason D Blazer, MS, PT practice?

The practice location is 264 Heights RD, Darien, CT 06820-4122. The office can be reached at 203-655-6464 (phone) or 203-655-2859 (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 1750331088 directly on the NPPES registry website.

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