BLAKE PHYSICAL THERAPY, PC
NPI 1750350476
Physical Therapist - Orthopedic in Santa Monica, CA

Q: 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.

Q: 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.

Active since March 15, 2006

1714 17TH ST, SANTA MONICA, CA 90404(310) 392-7889(310) 314-4431 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1750350476

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameBLAKE PHYSICAL THERAPY, PC

Location Address1714 17TH STSanta Monica, CA 90404-4410

Mailing Address1714 17th StSanta Monica, CA 90404-4410 · (310) 392-7889 · Fax (310) 314-4431

Phone(310) 392-7889

Fax(310) 314-4431

Organization SubpartNo

Authorized OfficialJeff BlakeOwner · (310) 392-7889

Enumeration DateMarch 15, 2006

Last NPPES UpdateDecember 4, 2017

✔ NPI 1750350476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT17676

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1714 17TH ST, Santa Monica, CA 90404

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Other Identifiers 2

Medicare ID-Type UnspecifiedW15914ACA · Second Location Group Id

Medicare ID-Type UnspecifiedW15914CA · Medicare Group Id

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

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.

KATIE REINHARDT DPT

Physical Therapist