Mr. Mitchell Blank, PT
Physical Therapist in Tolland, Connecticut
1811260284- Practice location
- 26 Shenipsit Lake RD, Tolland, CT 06084-2332
- Phone
- 860-872-2999
- Fax
- —
- Last updated
- February 16, 2012
Mitchell Blank is a Physical Therapist based in Tolland, CT. Mitchell Blank practices in Tolland, CT and has the professional credentials of PT. The NPI Number for Mitchell Blank is 1811260284 and holds a License No. 5372 (CT). The current practice location address for Mitchell Blank is 26 Shenipsit Lake RD, Tolland, CT 06084-2332 and can be reached out via phone at 860-872-2999.
Provider Profile Details
- NPI Number
- 1811260284
- Provider Name
- Mitchell Blank
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 26 Shenipsit Lake RD, Tolland, CT 06084-2332
- Phone Number
- 860-872-2999
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 16, 2012
- Last Update Date
- February 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Shenipsit Lake RD
Tolland, CT 06084-2332 - City
- Tolland
- State
- Connecticut
- Zip
- 06084-2332
- Phone Number
- 860-872-2999
Provider Business Mailing Address Details
- Address
- 439 Bigelow Hollow RD
Eastford, CT 06242-9302 - City
- Eastford
- State
- CT
- Zip
- 06242-9302
- Phone Number
- 860-836-7480
License Information
- License Number
- 5372
- License State
- CT
- 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. Mitchell Blank, PT?
The NPI number of Mr. Mitchell Blank, PT is 1811260284. It was assigned on February 16, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Mitchell Blank, PT?
Mr. Mitchell Blank, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 5372.
Where does Mr. Mitchell Blank, PT practice?
The practice location is 26 Shenipsit Lake RD, Tolland, CT 06084-2332. The office can be reached at 860-872-2999 (phone).
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 1811260284 directly on the NPPES registry website.