MRS. NICOLE MARIE BLAKE DPT
NPI 1750676904
Physical Therapist in Baltimore, MD

Active since June 16, 2011
4924 CAMPBELL BLVD, BALTIMORE, MD 21236(443) 442-2050 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1750676904
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. NICOLE MARIE BLAKECredential: DPT
Location Address4924 CAMPBELL BLVDBaltimore, MD 21236-5908
Mailing Address737 S Decker AveBaltimore, MD 21224-3946
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateFebruary 14, 2013
NPI 1750676904 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 MD · 23660
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.
4924 CAMPBELL BLVD, Baltimore, MD 21236

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Nicole Marie Blake Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234662669
PECOS Enrollment IDI20251111003819

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.

Physician Assistant
4924 CAMPBELL BLVD, SUITE 200
NOTTINGHAM, MD 21236
Internal Medicine
4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236
Physician Assistant (Medical)
4924 CAMPBELL BLVD
WHITE MARSH, MD 21236
Nurse Practitioner (Acute Care)
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Pharmacy (Community/Retail Pharmacy)
4924 CAMPBELL BLVD, STE 120
NOTTINGHAM, MD 21236
Internal Medicine
4924 CAMPBELL BLVD
BALTIMORE, MD 21236
Internal Medicine (Cardiovascular Disease)
4924 CAMPBELL BLVD, STE 110
BALTIMORE, MD 21236
Physical Therapist
4924 CAMPBELL BLVD
NOTTINGHAM, 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.

What insurance does Nicole Blake accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.