Individual provider Active NPI

Philippe Marie Blot, PT

  • Physical Therapist
  • Moseley, VA
National Provider Identifier
1437249232
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211457 Issued in VA
Practice address
16306 Midnight Xing
Moseley, VA 23120-1654
Phone
(631) 241-4221
NPI assigned
Oct 13, 2006
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

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

Addresses

Primary practice location

16306 Midnight Xing
Moseley, VA 23120-1654

Mailing address

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020557NYMDClinical Social Worker
2305211457VAMDPhysical Therapist

Practice roles

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

Locations

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1437249232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16306 MIDNIGHT XING",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201654",
            "telephone_number": "631-241-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16306 MIDNIGHT XING",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201654",
            "telephone_number": "631-241-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOT",
        "first_name": "PHILIPPE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020557",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moseley, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.