Alexander Matthew Blank, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11196 Issued in CT

Practice address

1445 E Putnam Ave
Old Greenwich, CT 06870

Phone

(202) 745-8000

NPI assigned

Feb 11, 2016

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McNeill & Ro LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1902617517
  NPD

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1285093807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E PUTNAM AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "203-731-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E PUTNAM AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "202-745-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ALEXANDER",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Health PA
• Laura Becton
• April E Belmonte
• Therese Ann Bernstein, APRN
• Andrew Jon Bishop
• Francine Blinten
• Lisa Bologna, OTR/L
• Elizabeth Boylan
• Susan Schlussel Braun, DDS
• Jacqueline Nicole Britt-Friedman, PSYD

• Physical Therapist in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.