Desiree Blunt

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01061000 Issued in NJ

Practice address

421 Broadway
Bayonne, NJ 07002-3627

Phone

(609) 486-2150

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Body Rehabilitation LLCGroup PAC ID 0749401016, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balanced Body Rehabilitation LLC

  • Physical Therapist
  • Tenafly, NJ
  • NPI 1740690627

  NJ

  Medicare reassignment Care Compare group NPD
• Therapeutic Desires

  • Occupational Therapist
  • Bayonne, NJ
  • NPI 1164310694
  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1871229617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WALL ST W APT 6304",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023627",
            "telephone_number": "609-486-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01061000",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "BHP841495851",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "chirotouch",
            "affiliation": "N",
            "address_1": "421 Broadway",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070023627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• G. Thomas Bishara, DMD
• Mary Bishara, PT, DPT
• Remon Y Bishara, R.PH.
• Shanelle Bispham
• Ellen M Black, M.D.
• BMC Anesthesia Physicians LLC
• Maria Boberick, BA
• Bogdan Orthodontics
• Frank A. Bogdan, D.M.D.
• Jack Boghossian, M.D.

• Occupational Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.