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

Active since January 03, 2008
4754 MARTIN RD, SUITE 200, FLOWERY BRANCH, GA 30542(770) 967-4377(770) 967-8077 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Gina Renee Blake P.t. NPPES

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

MRS. GINA RENEE BLAKE P.T. (NPI 1053596569) is an individual physical therapist in Flowery Branch, Georgia, licensed in Georgia (7434) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1053596569
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. GINA RENEE BLAKECredential: P.T.
Location Address4754 MARTIN RD, SUITE 200Flowery Branch, GA 30542-3507
Mailing Address4754 Martin Rd, Suite 200Flowery Branch, GA 30542-3507 · (770) 967-4377 · Fax (770) 967-8077
Fax(770) 967-8077
Sole ProprietorYes
Enumeration DateJanuary 3, 2008
Last NPPES UpdateDecember 12, 2011
NPI 1053596569 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 GA · 7434
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.
4754 MARTIN RD, Flowery Branch, GA 30542

Other Identifiers 4

Medicare PIN65BBCNSGA
Medicare UPINQ19371GA
Other11816396GA · Caqh
Other20265I4817GA · Medicare Ptan

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Physician Assistant (Medical)
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
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
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542

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 Gina Blake's NPI number?

The NPI number for Gina Blake is 1053596569. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Gina Blake located?

Gina Blake practices at 4754 Martin Rd Suite 200, Flowery Branch, GA 30542. The listed phone number is (770) 967-4377.

What is Gina Blake's specialty?

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

What insurance does Gina Blake accept?

Health plans from Alliant Health Plans, Inc. list Gina Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gina Blake was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.