Philippe Marie Blot, PT

Individual provider Active NPI Physical Therapist · Moseley, VA

NPI 1437249232 · NPPES record last updated Nov 27, 2019

Key facts

NPI
1437249232
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305211457 (VA)
Practice address
16306 Midnight Xing
Moseley, VA 23120-1654
Phone
(631) 241-4221
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
020557NYMDClinical Social Worker
2305211457VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Brown Physical Therapy, P.C. Physical Therapist Current
since Aug 8, 2019
Accepting new patients
PCC Transportation LLC Current
since Jan 1, 2022
Accepting new patients

Locations

205 Glen Cove Ave
Sea Cliff, NY 11579
Phone (516) 319-3149

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020557 NY
Physical Therapist 225100000X 2305211457 VA Yes

Addresses

Primary practice location

16306 Midnight Xing
Moseley, VA 23120-1654

Mailing address

16306 Midnight Xing
Moseley, VA 23120-1654
Phone (631) 241-4221

Other providers in Moseley, VA

All providers in Moseley, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.