MICHAEL JACK BLAKE DPT
NPI 1295560100
Physical Therapist in Castle Rock, CO

Active since September 03, 2024Accepts Medicare Assignment
390 S WILCOX ST STE B, CASTLE ROCK, CO 80104(303) 839-8068(303) 835-3597 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Sep 3, 2024 (2 updates tracked since 2024).

About Michael Jack Blake Dpt NPPES

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

MICHAEL JACK BLAKE DPT (NPI 1295560100) is an individual physical therapist in Castle Rock, Colorado, licensed in Colorado (20757) and active in the NPI registry since September 2024. He maintains a secondary practice location in Lansing and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295560100
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMICHAEL JACK BLAKECredential: DPT
Location Address390 S WILCOX ST STE BCastle Rock, CO 80104-1951
Mailing Address390 S Wilcox St Ste BCastle Rock, CO 80104-1951 · (303) 839-8068 · Fax (303) 835-3597
Fax(303) 835-3597
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2024
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1295560100 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
Licenses Licensed in CO · 20757 Licensed in MI · 5501303478
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.
390 S WILCOX ST STE B, Castle Rock, CO 80104

Secondary Practice Location 1

Location 17402 Westshire DrLansing, MI 48917-8988 · Phone (517) 853-6800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Jack Blake Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153861471
PECOS Enrollment IDI20250415002749, I20250826000907, I20260112000925

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
390 S WILCOX ST STE B
CASTLE ROCK, CO 80104
Physical Therapist
390 S WILCOX ST STE B
CASTLE ROCK, CO 80104
Clinic/Center (Physical Therapy)
390 S WILCOX ST STE B
CASTLE ROCK, CO 80104
Physical Therapist
390 S WILCOX ST STE B
CASTLE ROCK, CO 80104

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 Michael Blake's NPI number?

The NPI number for Michael Blake is 1295560100. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Michael Blake located?

Michael Blake practices at 390 S Wilcox St Ste B, Castle Rock, CO 80104. The listed phone number is (303) 839-8068.

What is Michael Blake's specialty?

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

Is Michael Blake enrolled in Medicare?

Yes. Michael Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Blake was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.