Carlo Blaquera, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02231100 Issued in NJ

Practice address

1715 Route 88 # 2
Brick, NJ 08724-3008

Phone

(732) 458-7976

Fax

(732) 458-6031

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kessler Institute for Rehabilitation, Inc.

  • Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1528512266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1861257206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ROUTE 166",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534111",
            "telephone_number": "732-914-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 ROUTE 88 # 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243008",
            "telephone_number": "732-458-7976",
            "fax_number": "732-458-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAQUERA",
        "first_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02231100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarun Bhandari, M.D.
• Vinod Rao Bhashyam, M.D
• Amy Bhatt, DO
• Kelly Jaclyn Bicking, LAC
• Kelsey Lynne Blanchard, BCBA
• Michael Blatt, LCSW
• Morgan Blusewicz
• Blyf Inc (Accessible Home Health Care of North Jersey Shore)
• Marlena Ann Boeni, PMHNP
• Emily Marie Bogan

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.

Verify at the official NPI Registry.