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

Keith Blauvelt

Individual provider Physical Therapy Assistant · NPI 1255818035

Keith Blauvelt is a Physical Therapy Assistant in Jackson, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

2 Kathleen Dr
Jackson, NJ 08527-2269
Phone: (732) 474-6055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00295700 (NJ)

Record details

NPI number1255818035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 24, 2018
Mailing address398 Kettle Creek Rd Apt 7, Toms River, NJ 08753-1971

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