MR. BRENDON BLAKE P.T.
NPI 1508804428
Physical Therapist in Flowery Branch, GA

NPI Status: Active since June 03, 2006

Contact Information

4754 MARTIN RD
SUITE 200
FLOWERY BRANCH, GA
ZIP 30542
Phone: (770) 967-4377
Fax: (770) 967-8077

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  • Individual
  • Male
  • Years of Experience 27
  • Physical Therapist
  • Accepts Insurance
  • May Accept Medicare Approved Payment

About BRENDON BLAKE

This page provides the complete NPI Profile along with additional information for Brendon Blake, a provider established in Flowery Branch, Georgia with a medical specialization in Physical Therapist and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1508804428 assigned on June 2006. The practitioner's primary taxonomy code is 225100000X with license number 7433 (GA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1508804428
Provider Name
MR. BRENDON BLAKE P.T.
Gender
Male
Entity Type
Individual
Location Address
4754 MARTIN RD SUITE 200 FLOWERY BRANCH, GA 30542
Location Phone
(770) 967-4377
Location Fax
(770) 967-8077
Mailing Address
4754 MARTIN RD SUITE 200 FLOWERY BRANCH, GA 30542
Mailing Phone
(770) 967-4377
Mailing Fax
(770) 967-8077
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
Yes
Enumeration Date
06-03-2006
Last Update Date
12-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
7433
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
857620906EMEDICAID (05)GA 
202I654821OTHER (01)GAMEDICARE PTAN
P66695MEDICARE UPIN (02)GA 
65BBCNRMEDICARE ID-TYPE UNSPECIFIED (04)GA 

Medicare Participation & PECOS Enrollment Status

Brendon Blake is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 9830160738

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040804000620

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care

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.

This service was performed 379 times for 67 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 37 times for 34 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

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.

This service was performed 357 times for 71 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

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.

This service was performed 509 times for 84 patients

Therapy procedure using functional activities

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.

This service was performed 367 times for 70 patients

Therapy procedure using manual technique, each 15 minutes

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.

This service was performed 259 times for 58 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508804428, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 6 + 0 + 8 + 4 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1508804428.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Therapist
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Clinic/Center (Physical Therapy)
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapy Assistant
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, STE 200
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, SUITE 200
FLOWERY BRANCH, GA 30542
Physical Therapist
4754 MARTIN RD, STE 200
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Nurse Practitioner (Family)
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Family Medicine
4754 MARTIN RD
FLOWERY BRANCH, GA 30542
Physician Assistant (Medical)
4754 MARTIN RD
FLOWERY BRANCH, GA 30542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508804428, enumerated as an "individual" on June 03, 2006.

The provider is located at 4754 MARTIN RD SUITE 200 FLOWERY BRANCH, GA 30542 and the phone number is (770) 967-4377.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.