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EMILY A BLAKE
NPI 1376903039
Physical Medicine & Rehabilitation - Sports Medicine in Jacksonville, FL

Active since February 24, 2016
2627 RIVERSIDE AVE FL 3, JACKSONVILLE, FL 32204(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2018, Feb 24, 2016 (2 updates tracked since 2016).

About Emily A Blake NPPES

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

EMILY A BLAKE (NPI 1376903039) is an individual sports medicine provider in Jacksonville, Florida, licensed in Florida (PTA24202) and active in the NPI registry since February 2016. She maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1376903039
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameEMILY A BLAKE
Location Address2627 RIVERSIDE AVE FL 3Jacksonville, FL 32204-4712
Mailing Address6500 Bowden Rd Ste 103Jacksonville, FL 32216-8066 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Sole ProprietorNo
Enumeration DateFebruary 24, 2016
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
✔ NPI 1376903039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in FL · PTA24202
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
2627 RIVERSIDE AVE FL 3, Jacksonville, FL 32204
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Secondary Practice Location 1

Location 11835 Eastwest Pkwy, Suite 16Orange Park, FL 32003-6336 · Phone (904) 215-3958 · Fax (904) 215-3970

Other Identifiers 1

OtherPT24202FL · State License

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.

CLARISSA M. WYNN PTA
Physical Therapy Assistant
2627 RIVERSIDE AVE FL 3
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DANIELLE E. GIPSON PTA
Physical Therapy Assistant
2627 RIVERSIDE AVE FL 3
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. FRANK R COLLIER JR. M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
2627 RIVERSIDE AVE FL 3
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DANIEL P. JOSE PA-C
Physician Assistant
2627 RIVERSIDE AVE FL 3
JACKSONVILLE, FL 32204
Duval County (904) 634-0640

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 Emily Blake's NPI number?

The NPI number for Emily Blake is 1376903039. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Emily Blake located?

Emily Blake practices at 2627 Riverside Ave Fl 3, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Emily Blake's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Emily Blake was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.