DR. NUTTA-ON BLAIR PT PHD NPI 1508370453

NPI Information

  • NPI: 1508370453
  • Provider Name: DR. NUTTA-ON BLAIR, PT, PHD
  • Classification: Physical Therapist - 2251N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 6475 JIMMY CARTER BLVD STE 200
    NORCROSS, GA
    ZIP 30071
  • Phone: (770) 242-7744

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NPI Details

DR. Nutta-on Blair, PT, PHD is a neurology physical therapist in Norcross, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. DR. Nutta-on Blair, PT, PHD NPI is 1508370453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6475 JIMMY CARTER BLVD STE 200
NORCROSS, GA
ZIP 30071-734
Phone: (770) 242-7744
Fax: (770) 368-0164

The enumeration date for this NPI number is 11/29/2017 and was last updated on 11/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251N0400XPhysical TherapistNeurologyPTL.0014385COLORADONo
22251P0200XPhysical TherapistPediatricsPT013222GEORGIANo
32251P0200XPhysical TherapistPediatricsPTL.0014385COLORADONo
42251N0400XPhysical TherapistNeurologyPT013222GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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