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MR. CHARLES BLAKE PT
NPI 1104892637
Physical Therapist - Orthopedic in Columbia, SC

Active since February 24, 2006
MONCRIEF ARMY HEALTH CLINIC, 4500 8TH DIVISION DRIVE, COLUMBIA, SC 29207(803) 751-7183 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Blake Pt NPPES

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

MR. CHARLES BLAKE PT (NPI 1104892637) is an individual orthopedic provider in Columbia, South Carolina, licensed in Tennessee (420820) and active in the NPI registry since February 2006. He maintains a secondary practice location in Fort Campbell.

NPPES Registry Identity

NPI1104892637
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. CHARLES BLAKECredential: PT
Location AddressMONCRIEF ARMY HEALTH CLINIC, 4500 8TH DIVISION DRIVEColumbia, SC 29207
Mailing AddressMoncrief Army Health Clinic, 4500 8th Division DriveColumbia, SC 29207 · (803) 751-7183
Phone(803) 751-7183
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1104892637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in TN · 420820
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
MONCRIEF ARMY HEALTH CLINIC, Columbia, SC 29207
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Secondary Practice Location 1

Location 1Blanchfield Army Community Hospital, 650 Joel DriveFort Campbell, KY 42223-5349 · Phone (270) 798-8372 · Fax (270) 956-0180

Other Providers at the Same Location NPPES 2

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

DR. HARRIS AHMAD ABBASI OD, MHA, FAAO, LSSBB
Optometrist
MONCRIEF ARMY HEALTH CLINIC, 4500 8TH INF DIV STREET
FT JACKSON, SC 29207
Richland County (803) 751-7484
MR. TODD MICHAEL ROWE PA
Physician Assistant
MONCRIEF ARMY HEALTH CLINIC, 8TH DIVISION RD
FORT JACKSON, SC 29207
Richland County (803) 751-6789

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 Charles Blake's NPI number?

The NPI number for Charles Blake is 1104892637. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Charles Blake located?

Charles Blake practices at Moncrief Army Health Clinic 4500 8th Division Drive, Columbia, SC 29207. The listed phone number is (803) 751-7183.

What is Charles Blake's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Charles Blake was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.