Blake Ducos
Blake Ducos is registered under Physical Therapist in Private Practice in Randolph, New Jersey. Qualified in 2020, 6 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 6
- Licensed in
- NJ
- In the registry since
- 2020
Practice location Address checks out
390 Route Nj 10 Ste 202Randolph, NJ 07869
Phone: (973) 895-9925
Fax: (973) 895-9927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA01956200 (NJ) |
|---|
Record details
| NPI number | 1578178604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2020 |
| Last updated in NPPES | September 15, 2020 |
| Certification date | September 14, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Professional Occupational And Physical Therapy, Pllc — 493 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 2,070 |
| Average patient age | 73 |
Colleagues at Professional Occupational and Physical Therapy, PLLC
- Jonathan Basile, DPT Physical Therapist · New Hyde Park, NY
- Randy Cruz Physical Therapist · Long Beach, NY
- Mrs. Kara J Ghedina, OTRCHT Hand Occupational Therapist · Morristown, NJ
- David Grancagnolo Physical Therapist · West Caldwell, NJ
- Brian W Lee Occupational Therapist · Union, NJ
- Erica Lynn Martello, PT, DPT Physical Therapist · New Hyde Park, NY
- Kayla Miller Physical Therapist · Summit, NJ
- Mrs. Ellen Gail Naiman Michaels, PT Physical Therapist · Malverne, NY
- Ivana Nino, MSOT Occupational Therapist · Cranford, NJ
- Andrea Sanichar Physical Therapist · Glendale, NY
- Jessica Van Epps, OTR/L Occupational Therapist · West Babylon, NY
- Ashley Michele Willoughby Physical Therapist · Williston Park, NY
Other providers in Randolph
-
Carmine Capalbo, DPT
711 Route 10 E Ste 200, Randolph, NJ 07869-2030 · (973) 584-3191
-
Violetta Chyc-Olesiak, DPT
2 Emery Ave, Randolph, NJ 07869-1368 · (973) 895-9925
-
Divine Vagine LLC
20 Clover Ln, Randolph, NJ 07869-4529 · (973) 876-2509
-
Drahos Physical Therapy LLC
5 Sorman Ter, Randolph, NJ 07869-3419 · (973) 355-7872
-
Tyler Faede, PT, DPT
711 Route 10 E Ste 200, Randolph, NJ 07869-2030 · (973) 584-3191
-
Deanna Graziani, DPT
711 Route 10 E Ste 200, Randolph, NJ 07869-2030 · (973) 584-3191
-
Heidi Hayhoe
2 Emery Ave, Randolph, NJ 07869-1368 · (973) 895-9925
-
Nicolas Joseph Hernandez, PT
711 Route 10 E Ste 200, Randolph, NJ 07869-2030 · (973) 584-3191