Abigail Blake, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004662 Issued in WV

Practice address

943 Maple Dr
Morgantown, WV 26505-2812

Phone

(304) 599-2515

NPI assigned

May 18, 2022

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Morgantown Physical Therapy Associates, Inc.Group PAC ID 2365522851, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morgantown Physical Therapy Associates, Inc.

  dba HealthWorks Rehab and Fitness

  • Physical Therapist
  • Morgantown, WV
  • NPI 1437191756
  Medicare reassignment Care Compare group NPD
• PHS Physical Therapy, LLC

  dba Select Physical Therapy

  • Physical Therapist
  • Camp Hill, PA
  • NPI 1912300096
  Medicare reassignment NPD
• Morgantown Physical Therapy Associates, Inc.

  dba HealthWorks Rehab and Fitness

  • Durable Medical Equipment & Medical Supplies
  • Morgantown, WV
  • NPI 1922486026
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1063159283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VALLEY VIEW DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428727",
            "telephone_number": "717-471-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 MAPLE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052812",
            "telephone_number": "304-599-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 E Main St",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031643",
            "country_code": "US",
            "telephone_number": "717-867-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ABIGAIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030557",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Biundo, MSW, LGSW
• Abigail Black
• Kristin Black
• Erica Donnell Blackwell, APRN, FNP-BC
• Megan Blahut, PA-C
• Elizabeth Grace Blake, BA
• Harlee Jean Blake
• Jean Blake
• Lauren Blake, PTA
• Morgan Bland, PA-C

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.