Active NPI
Blaze Physical Therapy PLLC
- Physical Therapist
- Nanuet, NY
National Provider Identifier
1780520213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BLAZE PHYSICAL THERAPY PLLC
- Practice address
- 195 W Route 59
Nanuet, NY 10954-2211 - Phone
- (845) 826-5930
- NPI assigned
- Apr 27, 2026
- Last updated
- Jul 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sinju Thomas, PT
- Title
- President
- Phone
- (845) 826-5930
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
195 W Route 59
Nanuet, NY 10954-2211
Mailing address
467 Phillips Hill Rd
New City, NY 10956-2012
Phone (845) 477-1155
National Provider Directory
National Provider DirectoryLocations
195 W Route 59
Nanuet, NY 10954
Phone (845) 826-5930
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Suffern, NY
- NPI 1275879413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785024000000",
"number": "1780520213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 PHILLIPS HILL RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562012",
"telephone_number": "845-477-1155",
"fax_number": "845-477-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 W ROUTE 59",
"city": "NANUET",
"state": "NY",
"postal_code": "109542211",
"telephone_number": "845-826-5930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLAZE PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-27",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "SINJU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-826-5930",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.