Blake Physical Therapy, Pc - Medicare Physical Therapist in Santa Monica, CA

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Blake Physical Therapy, Pc is a medicare enrolled "Physical Therapist - Orthopedic" provider in Santa Monica, California. Their current practice location is 1714 17th St, Santa Monica, California. You can reach out to their office (for appointments etc.) via phone at (310) 392-7889.

Blake Physical Therapy, Pc is licensed to practice in California (license number PT17676) and it also participates in the medicare program. Blake Physical Therapy, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750350476.

Contact Information

Blake Physical Therapy, Pc
1714 17th St,
Santa Monica, CA 90404-4410
(310) 392-7889
(310) 314-4431

Map and Direction




Healthcare Provider's Profile

Full NameBlake Physical Therapy, Pc
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location1714 17th St, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750350476
  • Provider Enumeration Date: 03/15/2006
  • Last Update Date: 12/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8729974001
  • Enrollment ID: O20040224000757

Medical Identifiers

Medical identifiers for Blake Physical Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750350476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic PT17676 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Blake Physical Therapy, Pc acts as a billing entity for following providers:
Provider NameGeraldine Vergara
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467752824
PECOS PAC ID: 3577530872
Enrollment ID: I20040915000985
Provider NameJohn Loo Joe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386622686
PECOS PAC ID: 1456317098
Enrollment ID: I20041206001106
Provider NameMatthew Jason Beaty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215252671
PECOS PAC ID: 5496885469
Enrollment ID: I20100617000773
Provider NameJeffrey L Blake
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407834781
PECOS PAC ID: 8921994211
Enrollment ID: I20120313000489
Provider NameDanel Lombard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851302004
PECOS PAC ID: 2961482815
Enrollment ID: I20140725002372
Provider NameJessica D Sison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003195520
PECOS PAC ID: 3072830132
Enrollment ID: I20150330000937
Provider NameMargaret Everly Ramirez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457878696
PECOS PAC ID: 5890060602
Enrollment ID: I20171004002347
Provider NameMichalea Ryan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568981439
PECOS PAC ID: 0840565016
Enrollment ID: I20171013003062
Provider NameHilary Paige Gereaux
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720593494
PECOS PAC ID: 9537428776
Enrollment ID: I20180117000716
Provider NameElizabeth Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427559327
PECOS PAC ID: 4880958883
Enrollment ID: I20180427000370
Provider NameBrynn Condy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740751957
PECOS PAC ID: 9436496650
Enrollment ID: I20190125002918
Provider NameRegina Mohan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700343035
PECOS PAC ID: 0749521458
Enrollment ID: I20190406000016
Provider NamePhilip A Do Nascimento
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033678750
PECOS PAC ID: 3577806157
Enrollment ID: I20190522002360
Provider NameMadeline Raab
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437677200
PECOS PAC ID: 2668747536
Enrollment ID: I20190712001717
Provider NameClaire Delcambre
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720637259
PECOS PAC ID: 3779915889
Enrollment ID: I20191111003086
Provider NameKaty Kleinberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972142420
PECOS PAC ID: 9739515974
Enrollment ID: I20200205003153
Provider NameSarah S Borchert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821633918
PECOS PAC ID: 6103244405
Enrollment ID: I20200918001223
Provider NameAndrea Mathieux
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053925081
PECOS PAC ID: 3173942885
Enrollment ID: I20200930000751
Provider NameJames O'brien
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942816921
PECOS PAC ID: 0446679724
Enrollment ID: I20201006002561
Provider NameJasmine Burton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306453352
PECOS PAC ID: 7911317862
Enrollment ID: I20201103003030
Provider NameAudrey Chandler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184979239
PECOS PAC ID: 4688823206
Enrollment ID: I20210427002964
Provider NameCourtney Gaardsmoe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285303701
PECOS PAC ID: 0446641872
Enrollment ID: I20211220001233
Provider NameReuel B Tizabi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790326791
PECOS PAC ID: 2365838711
Enrollment ID: I20220412000120
Provider NameWendy Chan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285933804
PECOS PAC ID: 2567640386
Enrollment ID: I20221102003463
Provider NameNeurigo Han
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326736356
PECOS PAC ID: 6406213032
Enrollment ID: I20230613001111
Provider NameKira Conde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942983770
PECOS PAC ID: 5597119271
Enrollment ID: I20230928003522

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 Physical Therapy, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blake Physical Therapy, Pc
1714 17th St,
Santa Monica, CA 90404-4410

Ph: (310) 392-7889		Blake Physical Therapy, Pc
1714 17th St,
Santa Monica, CA 90404-4410

Ph: (310) 392-7889

Reviews and Comments


Physical Therapist in Santa Monica, CA

Mr. Jared Spencer Vagy, PT
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Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401
Phone: 310-260-9039    
Rebecca Marie Pitts,
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Eleanor Bachman, DPT
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Phone: 917-755-8910    
Lori Jean Mccarty, PT
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Phone: 310-656-8600    Fax: 310-656-8606
Caitlin E Berry, D.P.T.
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Medicare: Not Enrolled in Medicare
Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404
Phone: 310-828-6584    Fax: 310-453-3373
Michael Allan Andersen, D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
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Phone: 310-260-9039    
Adrienne Telemaque, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404
Phone: 310-828-6584    Fax: 310-453-3373

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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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