Blake Edward Stoutenburg, - Physical Therapist in Lawrenceville, GA

Blake Edward Stoutenburg, is a Physical Therapist based in Lawrenceville, Georgia. Blake Edward Stoutenburg is licensed to practice in Utah (license number 3043172-2401) and his current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 312-1000.

NPI number for Blake Edward Stoutenburg is 1831918465 and his current mailing address is 550 S 300 W Unit N703, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831918465.

Contact Information

Blake Edward Stoutenburg,
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694
(678) 312-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBlake Edward Stoutenburg
GenderMale
SpecialityPhysical Therapist
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831918465
  • Provider Enumeration Date: 10/09/2024
  • Last Update Date: 10/09/2024

Medical Identifiers

Medical identifiers for Blake Edward Stoutenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831918465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 3043172-2401 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Edward Stoutenburg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blake Edward Stoutenburg,
550 S 300 W Unit N703,
Salt Lake City, UT 84101-2573

Ph: (248) 326-4050
Blake Edward Stoutenburg,
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694

Ph: (678) 312-1000

Reviews and Comments


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Phone: 770-237-9591    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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