Active NPI
Jill Blair, PT, DPT
- Physical Therapist
- Brasher Falls, NY
National Provider Identifier
1194029603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033242-1
- Practice address
- 897 State Highway 11C Bay 4
Brasher Falls, NY 13613-4118 - Phone
- (315) 389-5004
- Fax
- (315) 389-5504
- NPI assigned
- Dec 28, 2010
- Last updated
- Jan 23, 2012
- Sex
- Female
- 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 | 033242-1 | NY | Primary |
Addresses
Primary practice location
897 State Highway 11C Bay 4
Brasher Falls, NY 13613-4118
Mailing address
19 Maple St
Norfolk, NY 13667-3112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033242-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1194029603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MAPLE ST",
"city": "NORFOLK",
"state": "NY",
"postal_code": "136673112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 STATE HIGHWAY 11C BAY 4",
"city": "BRASHER FALLS",
"state": "NY",
"postal_code": "136134118",
"telephone_number": "315-389-5004",
"fax_number": "315-389-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "JILL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-28",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033242-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brasher Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.