Brian J. Blatt, PT, DPT, Cert. MDT
Physical Therapist in Moorestown, NJ. Individual provider (NPI-1).
NPI number1710296231
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1710296231
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian J. Blatt
- Credential
- PT, DPT, Cert. MDT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2010
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | 40QA01378400 | NJ | Yes |
| 225100000X | Physical Therapist | PT020699 | PA |
Practice location
740 Marne Hwy Ste 203Moorestown, NJ 08057-3127
Phone 856-914-1400 · Fax 856-914-1444
Mailing address
224 Strawbridge Dr Ste 100Moorestown, NJ 08057-4602
Phone 856-677-4000 · Fax 856-234-3014
Is something wrong?
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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