Sarah Jane Tanilon Blanco

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

55 Northern Blvd Ste 103
Great Neck, NY 11021-4058

Phone

(516) 466-9300

Fax

(516) 466-9353

NPI assigned

Oct 8, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1295200145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 52ND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734322",
            "telephone_number": "707-564-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTHERN BLVD STE 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214058",
            "telephone_number": "516-466-9300",
            "fax_number": "516-466-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "SARAH JANE",
        "middle_name": "TANILON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Behavioral Psychiatry PC
• Carolyn Birnbaum
• Natalie Bista, DPT
• Marie Blair, MD
• Ashley Ann Blanchard
• William Blau, MD
• Ryan Blauer, PT, DPT
• Bonnie Lyn Bleck, M.S.,P.D.
• Seymour H. Block, D.O.
• Lynn Mauerstein Blocker, M.A., R.D., C.D.N.

• Physical Therapy Assistant in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.