Active NPI
Robert R Blizzard III, DPT, PT, CSCS
- Physical Therapist
- Stamford, CT
National Provider Identifier
1487913091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008825
- Practice address
- 43 Palmer Ave
Apt a
Stamford, CT 06902-5307 - Phone
- (203) 517-9332
- NPI assigned
- May 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008825 | CT | Primary |
Addresses
Primary practice location
43 Palmer Ave
Apt a
Stamford, CT 06902-5307
Mailing address
43 Palmer Ave
Apt a
Stamford, CT 06902-5307
Phone (203) 517-9332
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008825 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1487913091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 PALMER AVE",
"address_2": "APT A",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025307",
"telephone_number": "203-517-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 PALMER AVE",
"address_2": "APT A",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025307",
"telephone_number": "203-517-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIZZARD",
"first_name": "ROBERT",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPT, PT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.