Active NPI
Philippe Marie Blot, PT
- Physical Therapist
- Moseley, VA
National Provider Identifier
1437249232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211457
- Practice address
- 16306 Midnight Xing
Moseley, VA 23120-1654 - Phone
- (631) 241-4221
- NPI assigned
- Oct 13, 2006
- Last updated
- Nov 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 020557 | NY | MD | Clinical Social Worker |
| 2305211457 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Transportation LLC | Current | Accepting new patients | |
| Michael S. Brown Physical Therapy, P.C. | Physical Therapist | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Moseley, VA
- NPI 1023640158
-
- Physical Therapist
- Wheatley Heights, NY
- NPI 1366620478
-
dba Island Rehabilitation Associates
- Physical Therapist
- West Hempstead, NY
- NPI 1215079926
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.