DR. BLAKE ARNOLD DIRCKSEN (NPI# 1073023735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073023735 |
| Entity Type | Individual |
| Full Name | DR. BLAKE ARNOLD DIRCKSEN |
| Credential | DPT, CSCS |
| Practice Address |
41 Union Sq W Ste 325 New York NY 10003-3234 |
| Mailing Address |
19598 Wagon Trail Dr Noblesville IN 46060-1153 |
| Practice Telephone | 9174944284 |
| Mailing Telephone | 3173858525 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
41 UNION SQ W STE 325 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528356862 | Vikash Sharma | Physical Therapist | 41 Union Sq W Ste 325, New York, NY 10003-3234 | 2011-07-20 |
| 1285119388 | Tyler Jason Denn-thiele | Physical Therapist | 41 Union Sq W Ste 325, New York, NY 10003-3234 | 2018-09-25 |
| 1821425984 | Thera-peer, Inc | Counselor | 41 Union Sq W Ste 325, New York, NY 10003-3234 | 2013-10-03 |
| 1962835298 | Maria T Gambino | Counselor | 41 Union Sq W Ste 325, New York, NY 10003-3234 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1588203624 | James Koo | Physical Therapist | 333 E 38th St Rm 5-201, New York, NY 10016-2772 | 2020-01-06 |
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1821637653 | Tyler J Kenton Dpt Pllc | Physical Therapist | 1 Union Sq W Bsmt Level, New York, NY 10003-3303 | 2019-12-26 |
| 1497212815 | Thom Walsh | Physical Therapist | 250 W 26th St Rm 402, New York, NY 10001-6737 | 2019-02-21 |
| 1134684376 | Bishoy Wagih Youssef | Physical Therapist | One Central Park South, Level A, New York, NY 10019-1732 | 2019-02-01 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1578032348 | Ryan James Coye | Physical Therapist | 1 Central Park South, Level A, La Palestra, New York, NY 10019 | 2018-11-21 |
| 1659846277 | Gary Heller | Physical Therapist | 57 W 5th Street, New York, NY 10019 | 2018-10-10 |
| 1407331044 | Teresa Iodice-dadin | Physical Therapist | 333 1st Ave, New York, NY 10003-2914 | 2018-09-29 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.