BLAKE PHYSICAL THERAPY, PC
NPI 1750350476
Physical Therapist - Orthopedic in Santa Monica, CA
About Blake Physical Therapy, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE PHYSICAL THERAPY, PC (NPI 1750350476) is a healthcare organization registered as an orthopedic in Santa Monica, California and active in the NPI registry since March 2006. The organization lists Jeff Blake, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Physical Therapy, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Blake Physical Therapy, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blake Physical Therapy, PC's NPI number?
The NPI number for Blake Physical Therapy, PC is 1750350476. It was assigned to this organization in the NPPES registry on March 15, 2006.
Where is Blake Physical Therapy, PC located?
Blake Physical Therapy, PC is located at 1714 17th St, Santa Monica, CA 90404. The listed phone number is (310) 392-7889.
What is Blake Physical Therapy, PC's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Blake Physical Therapy, PC enrolled in Medicare?
Yes. Blake Physical Therapy, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blake Physical Therapy, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Blake Physical Therapy, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blake Physical Therapy, PC was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Blake Physical Therapy, Pc · NPI 1750350476
Orthopedic organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since March 15, 2006.
## Identity
- **NPI:** 1750350476 (Entity type: Organization)
- **Enumerated:** March 15, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Jeff Blake, OWNER
## Practice location
- **Address:** 1714 17TH ST, Santa Monica, CA 90404-4410
- **Phone:** (310) 392-7889 · **Fax:** (310) 314-4431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2017
- **Other identifiers:** Medicare ID-Type Unspecified W15914A (CA); Medicare ID-Type Unspecified W15914 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1750350476) · Data from the CMS NPPES public registry.