MR. JEFFREY LEE BLAKE PT
NPI 1407834781
Physical Therapist in Santa Monica, CA

Active since January 06, 2006Accepts Medicare Assignment
0/100
CMS Quality Rating
1714 17TH ST, SANTA MONICA, CA 90404(310) 392-7889(310) 314-4431 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey Lee Blake Pt NPPES

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

MR. JEFFREY LEE BLAKE PT (NPI 1407834781) is an individual physical therapist in Santa Monica, California, licensed in California (PT17676) and active in the NPI registry since January 2006. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1407834781
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JEFFREY LEE BLAKECredential: PT
Location Address1714 17TH STSanta Monica, CA 90404-4410
Mailing Address1714 17th StSanta Monica, CA 90404-4410 · (310) 392-7889 · Fax (310) 314-4431
Fax(310) 314-4431
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 6, 2006
Last NPPES UpdateNovember 9, 2011
NPI 1407834781 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
License Licensed in CA · PT17676
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.
1714 17TH ST, Santa Monica, CA 90404

Other Identifiers 4

Medicare ID-Type UnspecifiedWPT17676BCA
OtherZZZ05281ZCA · Blue Shield Of Ca
Medicare ID-Type UnspecifiedWPT17676CCA
Medicare UPINS37419CA

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

Mr. Jeffrey Lee Blake Pt 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 ID8921994211
PECOS Enrollment IDI20120313000489

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
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.
9,504 services381 patients
Therapy procedure using manual technique, each 15 minutes 97140
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.
8,515 services364 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
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.
2,464 services234 patients
Therapy procedure for walking training, each 15 minutes 97116
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.
469 services61 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
385 services38 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
315 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 5

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

Physical Therapist
1714 17TH ST
SANTA MONICA, CA 90404
Physical Therapist
1714 17TH ST
SANTA MONICA, CA 90404
Physical Therapist (Orthopedic)
1714 17TH ST
SANTA MONICA, CA 90404
Physical Therapist
1714 17TH ST
SANTA MONICA, CA 90404
Physical Therapist
1714 17TH ST
SANTA MONICA, CA 90404

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 Jeffrey Blake's NPI number?

The NPI number for Jeffrey Blake is 1407834781. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Jeffrey Blake located?

Jeffrey Blake practices at 1714 17th St, Santa Monica, CA 90404. The listed phone number is (310) 392-7889.

What is Jeffrey Blake's specialty?

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

Is Jeffrey Blake enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Blake was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.