Isabel Blanco, Inc.

Organization Active NPI Physical Therapist · Chester, NY

NPI 1326436247 · NPPES record last updated Dec 30, 2014

Key facts

NPI
1326436247
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
003844 (NY)
Legal business name
ISABEL BLANCO, INC.
Practice address
120 Gibson Hill Rd
Chester, NY 10918-2314
Phone
(845) 469-5092
NPI assigned
Dec 30, 2014
Organization subpart
No

Authorized official

Name
Isabel A. Blanco, PT, MS NPI 1336394360
Title
President
Phone
(845) 469-5092

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 003844 NY Yes

Addresses

Primary practice location

120 Gibson Hill Rd
Chester, NY 10918-2314

Mailing address

120 Gibson Hill Rd
Chester, NY 10918-2314

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2014.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1326436247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GIBSON HILL RD",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109182314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GIBSON HILL RD",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109182314",
            "telephone_number": "845-469-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL BLANCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-469-5092",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NY

All providers in Chester, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.