| Logan Chandler Blake, PT, DPT | |
|
108 S Florida St, Mobile, AL 36606-1927 | |
| (251) 501-2700 | |
| (251) 501-2701 |
| Full Name | Logan Chandler Blake |
|---|---|
| Gender | Male |
| Speciality | Physical Therapy |
| Experience | 2 Years |
| Location | 108 S Florida St, Mobile, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326786187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTH10812 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Refine Pt And Performance Llc | 6103164967 | 12 |
| Provider Name | Refine Pt And Performance Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568930907 PECOS PAC ID: 6103164967 Enrollment ID: O20190220003455 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Chandler Blake, PT, DPT 108 S Florida St, Mobile, AL 36606-1927 Ph: (251) 501-2700 | Logan Chandler Blake, PT, DPT 108 S Florida St, Mobile, AL 36606-1927 Ph: (251) 501-2700 |
Ms. Autumn Lynn Woods, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 N Florida St Ste 31, Mobile, AL 36607 Phone: 251-300-8874 Fax: 251-308-3126 | |
Ms. Tanya Adams Lawrence, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2048a S Broad St, Brookley Complex, Mobile, AL 36615 Phone: 251-433-1414 Fax: 251-433-9634 | |
Dr. Jeremy Chad Fletcher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5271 Usa Dr N, Hahn 2050, Mobile, AL 36688 Phone: 251-445-9378 Fax: 251-445-9377 | |
Benchmark Physical Therapy Of Alabama, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Florida St Ste 31, Mobile, AL 36607 Phone: 833-823-2447 Fax: 833-823-2448 | |
Mr. Anthony Richard Nuchereno, DO Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1242 Anchor Dr, Mobile, AL 36693 Phone: 251-391-0588 | |
Hall & Oates Pt West Mobile, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2351 Dawes Road, Mobile, AL 36695 Phone: 251-604-2542 | |
Mrs. Amy Forsyth Walsh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 |