MRS. NICOLE MARIE BLAKE DPT
NPI 1750676904
Physical Therapist in Baltimore, MD
About Mrs. Nicole Marie Blake Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE MARIE BLAKE DPT (NPI 1750676904) is an individual physical therapist in Baltimore, Maryland, licensed in Maryland (23660) and active in the NPI registry since June 2011. She is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nicole Marie Blake Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Blake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middle River, MD 21220
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Lifebridge Sports Medicine And Rehabilitation LLC
- 27 clinicians in this Medicare group
Westfield, MA 01085
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Dg Physical Therapy PC
- 67 clinicians in this Medicare group
East Wareham, MA 02538
- Reassigned Medicare billing, Massachusetts enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NOTTINGHAM, MD 21236
NOTTINGHAM, MD 21236
BALTIMORE, MD 21236
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 Nicole Blake's NPI number?
The NPI number for Nicole Blake is 1750676904. It was assigned to this individual provider in the NPPES registry on June 16, 2011.
Where is Nicole Blake located?
Nicole Blake practices at 4924 Campbell Blvd, Baltimore, MD 21236. The listed phone number is (443) 442-2050.
What is Nicole Blake's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Nicole Blake enrolled in Medicare?
Yes. Nicole Blake is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Blake reassigns Medicare benefits to 3 organizations: Lifebridge Sports Medicine & Rehabilitation LLC (Middle River, MD), Dg Physical Therapy, P.C. (Westfield, MA) and Physiotherapy Associates Inc (East Wareham, MA). Each 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 Nicole Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Blake was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.