Active NPIIndividual provider

Shirley Blake, PT

Physical Therapist in Bangor, Maine

NPI Number1326057753
Practice location
133 Corporate Dr, Suite 2, Bangor, ME 04401-4312
Fax
207-992-9287
Last updated
July 8, 2007

Shirley Blake is a Physical Therapist based in Bangor, ME. Shirley Blake practices in Bangor, ME and has the professional credentials of PT. The NPI Number for Shirley Blake is 1326057753 and holds a License No. PT44 (ME). The current practice location address for Shirley Blake is 133 Corporate Dr, Suite 2, Bangor, ME 04401-4312 and can be reached out via phone at 207-992-9286 and via fax at 207-992-9287.

Provider Profile Details

NPI Number
1326057753
Provider Name
Shirley Blake
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
133 Corporate Dr, Suite 2, Bangor, ME 04401-4312
Phone Number
207-992-9286
Fax Number
207-992-9287
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Corporate Dr
Suite 2
Bangor, ME 04401-4312
City
Bangor
State
Maine
Zip
04401-4312
Phone Number
207-992-9286
Fax Number
207-992-9287
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 921
Bangor, ME 04402-0921
City
Bangor
State
ME
Zip
04402-0921
Phone Number
207-992-2070
Fax Number
207-990-5586

License Information

License Number
PT44
License State
ME
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapists near Bangor, ME

View all Physical Therapists in Bangor →

Frequently Asked Questions

What is the NPI number of Shirley Blake, PT?

The NPI number of Shirley Blake, PT is 1326057753. It was assigned on August 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Shirley Blake, PT?

Shirley Blake, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT44.

Where does Shirley Blake, PT practice?

The practice location is 133 Corporate Dr, Suite 2, Bangor, ME 04401-4312. The office can be reached at 207-992-9286 (phone) or 207-992-9287 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326057753 directly on the NPPES registry website.

Browse related providers