Timothy Patrick Blaney Jr., PT
Physical Therapist in Hoboken, NJ. Individual provider (NPI-1).
NPI number1376429167
StatusActive
Last updated in NPPESAug 15, 2025
Details
- NPI
- 1376429167
- Entity type
- Individual (NPI-1)
- Name
- Timothy Patrick Blaney Jr.
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2025
- Certification date
- Aug 15, 2025
- Last updated
- Aug 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02358300 | NJ | Yes |
Practice location
111 Washington St 2nd FloorHoboken, NJ 07030
Phone 201-808-2245 · Fax 646-663-1193
Mailing address
102 Madison Avenue, 8th FlNew York, NY 10016-6575
Phone 212-759-2282 · Fax 212-379-2123
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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