BEVAN D BLAKE PT, DPT
NPI 1114928868
Physical Therapist in Salt Lake City, UT

NPI Status: Active since August 03, 2005

Contact Information

370 E SOUTH TEMPLE
#250
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 512-2656
Fax: (801) 906-0336

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  • Individual
  • Male
  • Years of Experience 19
  • Physical Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About BEVAN BLAKE

This page provides the complete NPI Profile along with additional information for Bevan Blake, a provider established in Salt Lake City, Utah with a medical specialization in Physical Therapist and more than 19 years of experience. He graduated from University Of Utah School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1114928868 assigned on August 2005. The practitioner's primary taxonomy code is 225100000X with license number 344859-2401 (UT). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1114928868
Provider Name
BEVAN D BLAKE PT, DPT
Gender
Male
Entity Type
Individual
Location Address
370 E SOUTH TEMPLE #250 SALT LAKE CITY, UT 84111
Location Phone
(801) 512-2656
Location Fax
(801) 906-0336
Mailing Address
370 E SOUTH TEMPLE #250 SALT LAKE CITY, UT 84111
Mailing Phone
(801) 512-2656
Mailing Fax
(801) 906-0336
Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
08-03-2005
Last Update Date
10-10-2012
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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.
344859-2401
License State
UT
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:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

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.

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
34485924000001OTHER (01)UTBLUE CROSS BLUE SHIELD
64-00731OTHER (01)UTUNITED HEALTHCARE
005580810MEDICARE ID-TYPE UNSPECIFIED (04)UT 
CJ9402OTHER (01)UTRAILROAD MEDICARE
P53978MEDICARE UPIN (02)UT 
68963OTHER (01)UTPEHP
870388269BR1OTHER (01)UTEDUCATORS MUTUAL
5417OTHER (01)UTDMBA

Medicare Participation & PECOS Enrollment Status

Bevan Blake is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 4486627973

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040813000416

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 13 times for 12 patients

Re-evaluation for physical therapy, typically 20 minutes

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

This service was performed 22 times for 15 patients

Therapy procedure for walking training, each 15 minutes

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

This service was performed 229 times for 23 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 477 times for 31 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 598 times for 32 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 356 times for 27 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.1 for a new patient copayment and $17 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84111 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.41
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $21.1
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.5

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.01
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1114928868, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 1 → 2 9 → 18 → 9 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 6 + 8 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114928868.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Psychiatric/Mental Health)
370 E SOUTH TEMPLE, STE 550
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
370 E SOUTH TEMPLE, SUITE 550
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
370 E SOUTH TEMPLE, SUITE 550
SALT LAKE CITY, UT 84111
Dentist (Periodontics)
370 E SOUTH TEMPLE, SUITE 350
SALT LAKE CITY, UT 84111
Dentist (General Practice)
370 E SOUTH TEMPLE
SALT LAKE CITY, UT 84111
Dentist
370 E SOUTH TEMPLE, SUITE 325
SALT LAKE CITY, UT 84111
Counselor (Mental Health)
370 E SOUTH TEMPLE, SUITE #240
SALT LAKE CITY, UT 84111
Dentist (General Practice)
370 E SOUTH TEMPLE
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
370 E SOUTH TEMPLE, SUITE #240
SALT LAKE CITY, UT 84111
Psychologist (Clinical)
370 E SOUTH TEMPLE, SUITE 550
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
370 E SOUTH TEMPLE, #550
SALT LAKE CITY, UT 84111
Dentist (General Practice)
370 E SOUTH TEMPLE, 220
SALT LAKE CITY, UT 84111
Dentist (General Practice)
370 E SOUTH TEMPLE, SUITE 220
SALT LAKE CITY, UT 84111
Nurse Practitioner (Psychiatric/Mental Health)
370 E SOUTH TEMPLE, SUITE 550
SLC, UT 84111
Physical Therapist
370 E SOUTH TEMPLE, SUITE 250
SALT LAKE CITY, UT 84111
Clinic/Center (Hearing and Speech)
370 E SOUTH TEMPLE, SUITE 150
SALT LAKE CITY, UT 84111
Massage Therapist
370 E SOUTH TEMPLE, #100
SALT LAKE CITY, UT 84111
Clinical Nurse Specialist (Psychiatric/Mental Health)
370 E SOUTH TEMPLE, STE 550
SALT LAKE CITY, UT 84111
Chiropractor
370 E SOUTH TEMPLE, SUITE 100
SALT LAKE CITY, UT 84111
Counselor (Mental Health)
370 E SOUTH TEMPLE
SALT LAKE CITY, UT 84111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114928868, enumerated as an "individual" on August 03, 2005.

The provider is located at 370 E SOUTH TEMPLE #250 SALT LAKE CITY, UT 84111 and the phone number is (801) 512-2656.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Molina Healthcare, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.