Blueprint Physical Therapy and Wellness LLC
NPI 1194338814ActiveOrganization· Physical Therapist· Montclair, NJ
Physical Therapist in Montclair, New Jersey, registered in NPPES in August 2020. The authorized official on file is Dimitri Baldwin, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1194338814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2020 |
| Last updated in NPPES | Oct 7, 2020 |
| Certified by provider | Oct 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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