Active NPI
Mary Blazejewski
- Physical Therapist
- Bensalem, PA
National Provider Identifier
1902457989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006707-L
- Practice address
- 6400 Hulmeville Rd
Bensalem, PA 19020-1932 - Phone
- (215) 752-9140
- NPI assigned
- Sep 22, 2019
- Sex
- Female
- 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 | PT006707-L | PA | Primary |
Addresses
Primary practice location
6400 Hulmeville Rd
Bensalem, PA 19020-1932
Mailing address
503 Southridge Cir
Yardley, PA 19067-4772
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006707-L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569110400000",
"number": "1902457989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 SOUTHRIDGE CIR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190674772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 HULMEVILLE RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201932",
"telephone_number": "215-752-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZEJEWSKI",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-22",
"last_updated": "2019-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006707-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.