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DR. THOMAS L BLAKE PA
NPI 1336218221
Chiropractor in Liberty, NC

Active since November 07, 2006
104 N GREENSBORO STREET, LIBERTY, NC 27298(336) 622-1600(336) 622-1600 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas L Blake Pa NPPES

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

DR. THOMAS L BLAKE PA (NPI 1336218221) is a healthcare organization registered as a chiropractor in Liberty, North Carolina and active in the NPI registry since November 2006. The organization lists Thomas L Blake, President, as its authorized official.

NPPES Registry Identity

NPI1336218221
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR. THOMAS L BLAKE PA
Location Address104 N GREENSBORO STREETLiberty, NC 27298
Mailing AddressPo Box 1185Liberty, NC 27298-1185 · (336) 622-1600 · Fax (336) 622-1600
Phone(336) 622-1600
Fax(336) 622-1600
Organization SubpartNo
Authorized OfficialThomas L BlakePresident · (336) 622-1600
Enumeration DateNovember 7, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1336218221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 2074
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
104 N GREENSBORO STREET, Liberty, NC 27298
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Other Identifiers 3

Medicare PIN232182NC
Medicare UPINT93386NC
Medicaid890830HNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dr. Thomas L Blake PA's NPI number?

The NPI number for Dr. Thomas L Blake PA is 1336218221. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Dr. Thomas L Blake PA located?

Dr. Thomas L Blake PA is located at 104 N Greensboro Street, Liberty, NC 27298. The listed phone number is (336) 622-1600.

What is Dr. Thomas L Blake PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Dr. Thomas L Blake PA was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.