Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremiah Blaser, PT, DPT

Individual provider Physical Therapist · NPI 1023533825

Jeremiah Blaser, PT, DPT is a Physical Therapist in Belvidere, Illinois. Licensed in Florida, Illinois, Kentucky and Missouri and 5 more. Registered with an NPI since 2017.

Licensed in
FL, IL, KY, MO, NC, SC
In the registry since
2017
Specialties on file
9
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1686 Henry Luckow Ln
Belvidere, IL 61008-1705
Phone: (815) 547-4777
Fax: (815) 547-1024
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16127-024 (WI)
Physical Therapist Taxonomy 225100000X · Licence TPPT570 (FL)
Physical Therapist Taxonomy 225100000X · Licence CP027048T (KY)
Physical Therapist Taxonomy 225100000X · Licence CP027051T (VA)
Physical Therapist Taxonomy 225100000X · Licence CP027050T (TN)
Physical Therapist Taxonomy 225100000X · Licence CP031411T (SC)
Physical Therapist Taxonomy 225100000X · Licence 070.023017 (IL)
Physical Therapist Taxonomy 225100000X · Licence CP027049T (MO)
Physical Therapist Taxonomy 225100000X · Licence CP042984T (NC)

Record details

NPI number1023533825
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 14, 2017
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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