Bevan Blake, PT, DPT

ActiveIndividual ProviderPhysical Therapy
NPI issued: August 3, 2005

Quick Facts

NPI Number
1114928868
TypeIndividual
StatusActive
SpecialtyPhysical Therapy
Taxonomy225100000X — Physical Therapy
Phone
(801) 512-2656
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1114928868)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 3, 2005)
Data source: CMS NPPES

Provider Overview

BEVAN BLAKE, PT, DPT is a Physical Therapy provider based in Salt Lake City, UT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114928868
Provider TypeIndividual Provider
GenderMale
CredentialPT, DPT
StatusActive
Enumeration DateAugust 3, 2005

Practice Location

CitySalt Lake City
StateUT
ZIP Code84111-1206
Phone(801) 512-2656

Specialties & Licenses

★ Primary
SpecialtyPhysical Therapy
Taxonomy Code225100000X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84111-1206
Phone(801) 512-2656
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114928868 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114928868for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114928868 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physical Therapy

Specialists in Physical Therapy provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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287,077
Physical Therapy Providers in the US

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People Also Ask

What is Bevan Blake's NPI number?
Bevan Blake's NPI number is 1114928868, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bevan Blake's NPI currently active?
Yes, Bevan Blake's NPI status is Active as of the latest CMS NPPES database updates.
What does Bevan Blake specialize in?
Bevan Blake specializes in Physical Therapy. The healthcare taxonomy code associated with this specialty is 225100000X.
Where does Bevan Blake practice?
Bevan Blake practices in Salt Lake City, UT 84111-1206.
When was Bevan Blake's NPI issued?
Bevan Blake's NPI was issued on August 3, 2005.
What is Bevan Blake's provider type?
Bevan Blake is registered as an Individual Provider under CMS NPI Type 1.