Active NPI
Alex Blackman, DPT
- Physical Therapist
- Newburgh, NY
National Provider Identifier
1144763111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041161
- Practice address
- 260 North St
Newburgh, NY 12550-3131 - Phone
- (845) 565-5054
- NPI assigned
- Nov 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041161 | NY | Primary |
Addresses
Primary practice location
260 North St
Newburgh, NY 12550-3131
Mailing address
211 Terrace Ridge
Fishkill, NY 12524
Phone (845) 559-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041161 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1144763111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 TERRACE RIDGE",
"city": "FISHKILL",
"state": "NY",
"postal_code": "12524",
"telephone_number": "845-559-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 NORTH ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503131",
"telephone_number": "845-565-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-23",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.