James Blakely, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015918 Issued in PA

Practice address

1555 E Wadsworth Ave
Unit 1
Philadelphia, PA 19150-1617

Phone

(267) 323-2778

Fax

(267) 323-2774

NPI assigned

Apr 16, 2007

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1003031816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 308",
            "address_2": "119 PROFESSIONAL BUILDING",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-801-8095",
            "fax_number": "724-801-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E WADSWORTH AVE",
            "address_2": "UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501617",
            "telephone_number": "267-323-2778",
            "fax_number": "267-323-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Gastroenterology Associates, LLC
• Cheryl Y Blake, CRNA
• David Victor Blake, MD
• James Blake
• Melna Blake
• Garrett Dylan Blaker, DNP, APRN
• Kayla Blaker, NP
• Veronica Blamasah, MHS, PA-C
• Bryan Matthew Blanchard, CRNP
• Erica Blanchard

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.