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

Renee Adele Blaise, PTA

Individual provider Physical Therapy Assistant · NPI 1992005912

Renee Adele Blaise, PTA is a Physical Therapy Assistant in Norwalk, Connecticut. Licensed in Connecticut, Mississippi and New York. Registered with an NPI since 2010.

Licensed in
CT, MS, NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

93 Richards Ave Apt 110
Norwalk, CT 06854-1679
Phone: (631) 671-9183
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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 006887 (NY)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1123 (CT)
Physical Therapy Assistant Taxonomy 225200000X · Licence 4636 (MS)

Record details

NPI number1992005912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 25, 2010
Last updated in NPPESOctober 25, 2010
Mailing address93 Richards Ave, Apt 110, Norwalk, CT 06854-1679

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