Marc Blatteis, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019104 Issued in NY

Practice address

7 Gulf Rd
East Brunswick, NJ 08816-1362

Phone

(732) 236-4761

NPI assigned

Apr 27, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Re-Active Physical Therapy LLCGroup PAC ID 2860814019, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Re-Active Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Somerset, NJ
  • NPI 1396376927

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445644800000",
    "number": "1265790141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GULF RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GULF RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161362",
            "telephone_number": "732-236-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTEIS",
        "first_name": "MARC",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2015-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Laboratory Inc
• Bonnie Joy Birnbaum, RD
• Rajiv Biswal, M.D.
• Elizabeth Ann Bjornsen, MSW
• Catherine E Black
• Melanie Blatteis, R.D., C.D.N.
• Lindsay Blewitt
• Larry Bloomstein
• Blue Mood Solutions, LLC
• Akwasi Afriyie Boateng, M.D.

• Physical Therapist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.