Active NPI
Joshua William Blazey, PT, DPT
- Physical Therapist
- Corning, NY
National Provider Identifier
1689423477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 052052-01
- Practice address
- 123 Conhocton St
Corning, NY 14830-2959 - Phone
- (607) 737-7804
- NPI assigned
- May 15, 2024
- 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 | 052052-01 | NY | Primary |
Addresses
Primary practice location
123 Conhocton St
Corning, NY 14830-2959
Mailing address
265 Russell Rd
Newark Valley, NY 13811-5205
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 |
|---|---|---|---|
| 052052-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1689423477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 RUSSELL RD",
"city": "NEWARK VALLEY",
"state": "NY",
"postal_code": "138115205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CONHOCTON ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302959",
"telephone_number": "607-737-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZEY",
"first_name": "JOSHUA",
"middle_name": "WILLIAM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052052-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.