Active NPIIndividual provider

Mrs. Patricia A Blake, PTA

Physical Therapist in Belfast, Maine

NPI Number1962960492
Practice location
118 Northport Ave, Belfast, ME 04915-6072
Fax
207-505-4754
Last updated
March 4, 2019

Patricia Ann Blake is a Physical Therapist based in Belfast, ME. Patricia Ann Blake practices in Belfast, ME and has the professional credentials of PTA. The NPI Number for Patricia Ann Blake is 1962960492 and holds a License No. PA70000021 (ME). The current practice location address for Patricia Ann Blake is 118 Northport Ave, Belfast, ME 04915-6072 and can be reached out via phone at 207-338-4076 and via fax at 207-505-4754.

Provider Profile Details

NPI Number
1962960492
Provider Name
Patricia Ann Blake
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
118 Northport Ave, Belfast, ME 04915-6072
Phone Number
207-338-4076
Fax Number
207-505-4754
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 4, 2019
Last Update Date
March 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Northport Ave
Belfast, ME 04915-6072
State
Maine
Zip
04915-6072
Phone Number
207-338-4076
Fax Number
207-505-4754
Belfast, ME 04915Get directions →

Provider Business Mailing Address Details

Address
118 Northport Ave
Belfast, ME 04915-6072
City
Belfast
State
ME
Zip
04915-6072
Phone Number
207-338-4076
Fax Number
207-505-4754

License Information

License Number
PA70000021
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.

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Frequently Asked Questions

What is the NPI number of Mrs. Patricia A Blake, PTA?

The NPI number of Mrs. Patricia A Blake, PTA is 1962960492. It was assigned on March 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Patricia A Blake, PTA?

Mrs. Patricia A Blake, PTA is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PA70000021.

Where does Mrs. Patricia A Blake, PTA practice?

The practice location is 118 Northport Ave, Belfast, ME 04915-6072. The office can be reached at 207-338-4076 (phone) or 207-505-4754 (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 1962960492 directly on the NPPES registry website.

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