Active NPI
Jessica Blando
- Physical Therapy Assistant
- Milford, NJ
National Provider Identifier
1508202128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00253000
- Practice address
- 174 Preston Rd
Apt D 3
Milford, NJ 08848 - Phone
- (908) 405-1465
- NPI assigned
- May 22, 2013
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 40QB00253000 | NJ | Primary |
Addresses
Primary practice location
174 Preston Rd
Apt D 3
Milford, NJ 08848
Mailing address
174 Preston Rd
Apt D3
Milford, NJ 08848-1248
Phone (908) 405-1465
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00253000 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1508202128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 PRESTON RD",
"address_2": "APT D3",
"city": "MILFORD",
"state": "NJ",
"postal_code": "088481248",
"telephone_number": "908-405-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 PRESTON RD",
"address_2": "APT D 3",
"city": "MILFORD",
"state": "NJ",
"postal_code": "08848",
"telephone_number": "908-405-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDO",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00253000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.