JENNIFER K BLAKE DPT
NPI 1023535739
Physical Therapist in New York, NY

Active since August 23, 2017
594 BROADWAY, NEW YORK, NY 10012(212) 343-1500(212) 343-1594 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer K Blake Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER K BLAKE DPT (NPI 1023535739) is an individual physical therapist in New York, New York, licensed in New York (042210) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1023535739
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJENNIFER K BLAKECredential: DPT
Location Address594 BROADWAYNew York, NY 10012-3233
Mailing Address1015 Saw Mill River RdArdsley, NY 10502-1118 · (914) 400-1500 · Fax (914) 478-8781
Fax(212) 343-1594
Sole ProprietorNo
Enumeration DateAugust 23, 2017
✔ NPI 1023535739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 042210
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
594 BROADWAY, New York, NY 10012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer K Blake Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
4013 AVENUE U
Brooklyn, NY 11234
  • Reassigned Medicare billing, New York enrollment
  • 466 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
594 BROADWAY, SUITE 409
NEW YORK CITY, NY 10012
Psychoanalyst
594 BROADWAY, ALFRED ADLER INSTITUTE -- SUITE 1213
NEW YORK, NY 10012
Psychoanalyst
594 BROADWAY
NEW YORK, NY 10012
Physical Therapist
594 BROADWAY, SUITE 1207
NEW YORK, NY 10012
Psychoanalyst
594 BROADWAY, SUITE 1213
NEW YORK, NY 10012
Internal Medicine
594 BROADWAY, SUITE 310
NEW YORK, NY 10012
Internal Medicine (Gastroenterology)
594 BROADWAY, SUITE 310
NEW YORK, NY 10012
Dermatology
594 BROADWAY, SUITE 310
NEW YORK, NY 10012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Blake's NPI number?

The NPI number for Jennifer Blake is 1023535739. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Jennifer Blake located?

Jennifer Blake practices at 594 Broadway, New York, NY 10012. The listed phone number is (212) 343-1500.

What is Jennifer Blake's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jennifer Blake enrolled in Medicare?

Yes. Jennifer Blake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Blake reassigns Medicare benefits to Rb Physical And Occupational Therapy PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Blake was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.