Individual provider Active NPI

Stuart David Blatt, PH.D, PT

  • Physical Therapist
  • Howell, MI
National Provider Identifier
1871622852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003776 Issued in MI
Practice address
2404 White Birch TRL
Howell, MI 48843-9502
Phone
(810) 923-8970
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501003776 MI Primary

Addresses

Primary practice location

2404 White Birch TRL
Howell, MI 48843-9502

Mailing address

2404 White Birch TRL
Howell, MI 48843-9502
Phone (810) 923-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000235 MI Practitioner - Physical Therapist in Private Practice 7517029333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5501003776MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nrmi, LLC CurrentSince Jan 13, 2026 Accepting new patients
Michigan Rehabilitation Specialists House Calls, P.C. Physical Therapist Past Accepting new patients

Locations

313 Congress St
Boston, MA 02210

5570 Whittaker Rd
Ypsilanti, MI 48197
Phone (517) 263-5810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871622852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WHITE BIRCH TRL",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488439502",
            "telephone_number": "810-923-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WHITE BIRCH TRL",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488439502",
            "telephone_number": "810-923-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "STUART",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.