MRS. GINA RENEE BLAKE P.T.
NPI 1053596569
Physical Therapist in Flowery Branch, GA

NPI Status: Active since January 03, 2008

Contact Information

4754 MARTIN RD
SUITE 200
FLOWERY BRANCH, GA
ZIP 30542
Phone: (770) 967-4377
Fax: (770) 967-8077

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  • Individual
  • Female
  • Physical Therapist
  • Accepts Insurance

About GINA BLAKE

This page provides the complete NPI Profile along with additional information for Gina Blake, a provider established in Flowery Branch, Georgia with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1053596569 assigned on January 2008. The practitioner's primary taxonomy code is 225100000X with license number 7434 (GA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1053596569
Provider Name
MRS. GINA RENEE BLAKE P.T.
Gender
Female
Entity Type
Individual
Location Address
4754 MARTIN RD SUITE 200 FLOWERY BRANCH, GA 30542
Location Phone
(770) 967-4377
Location Fax
(770) 967-8077
Mailing Address
4754 MARTIN RD SUITE 200 FLOWERY BRANCH, GA 30542
Mailing Phone
(770) 967-4377
Mailing Fax
(770) 967-8077
Is Sole Proprietor?
Yes
Enumeration Date
01-03-2008
Last Update Date
12-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
7434
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
65BBCNSMEDICARE PIN (08)GA 
Q19371MEDICARE UPIN (02)GA 
11816396OTHER (01)GACAQH
20265I4817OTHER (01)GAMEDICARE PTAN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053596569, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 9 + 1 + 2 + 5 + 1 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053596569.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Therapist
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Clinic/Center (Physical Therapy)
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapy Assistant
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, STE 200
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, STE 200
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Nurse Practitioner (Family)
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Physician Assistant (Medical)
4754 MARTIN RD
FLOWERY BRANCH, GA 30542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053596569, enumerated as an "individual" on January 03, 2008.

The provider is located at 4754 MARTIN RD SUITE 200 FLOWERY BRANCH, GA 30542 and the phone number is (770) 967-4377.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.