ADAM BLAKE
NPI 1275203127
Physical Therapist - Orthopedic in Fayetteville, AR

Q: What is the provider's specialty?

The provider's specialty is Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

Active since September 13, 2021

2668 E CITIZENS DR STE 5, FAYETTEVILLE, AR 72703(479) 595-0711 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2021, Sep 13, 2021 (2 updates tracked since 2021).

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About Adam Blake NPPES

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

ADAM BLAKE (NPI 1275203127) is an individual orthopedic provider in Fayetteville, Arkansas, licensed in Arkansas (4965) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1275203127

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameADAM BLAKE

Location Address2668 E CITIZENS DR STE 5Fayetteville, AR 72703-4796

Mailing Address2668 E Citizens Dr, Ste 5Fayetteville, AR 72703-4796 · (479) 442-7473 · Fax (479) 442-7473

Phone(479) 595-0711

Sole ProprietorNo

Enumeration DateSeptember 13, 2021

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1275203127 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 AR · 4965

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.

2668 E CITIZENS DR STE 5, Fayetteville, AR 72703

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