Abigail Blake, DPT
Individual provider Active NPI Physical Therapist · Morgantown, WV
NPI 1063159283 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1063159283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT004662 (WV)
- Practice address
- 943 Maple Dr
Morgantown, WV 26505-2812 - Phone
- (304) 599-2515
- NPI assigned
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
100 Ridgeview Dr
Unit 6
Smithfield, PA 15478-1650
Phone (724) 564-5600
943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712000546 | PA | Practitioner - Physical Therapist in Private Practice | 8527428325 | Reassigns benefits to 1 organization |
| I20231215001127 | WV | Practitioner - Physical Therapist in Private Practice | 8527428325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030557 | PA | MD | Physical Therapist |
| PT004662 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Physical Therapy Associates, Inc. | Current |
Accepting new patients | |
| PHS Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Morgantown Physical Therapy Associates, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
1251 E Main St
Annville, PA 17003
Phone (717) 867-4671
1160 Manheim Pike
Lancaster, PA 17601
Phone (717) 397-7505
1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731
100 Ridgeview Dr
Unit 6
Smithfield, PA 15478
Phone (724) 564-5600
103 Professional Arts Plaza Dr
Buckhannon, WV 26201
Phone (304) 427-0181
1228 Country Club Rd
Ste 15
Fairmont, WV 26554
Phone (304) 366-0461
943 Maple Dr
Morgantown, WV 26505
Phone (304) 599-2515
200 Fairchance Rd
Morgantown, WV 26508
Phone (304) 594-1545
729 Fairmont Rd
Ste 101
Westover, WV 26501
Phone (304) 413-4515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT030557 | PA | |
| Physical Therapist | 225100000X | PT004662 | WV | Yes |
Addresses
Primary practice location
943 Maple Dr
Morgantown, WV 26505-2812
Mailing address
70 Valley View Dr
Lebanon, PA 17042-8727
Phone (717) 471-9424
Other practice location 1
1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-1531
Other providers in Morgantown, WV
- Abigail Black
- Kristin Black
- William Black
- Erica Donnell Blackwell
- Megan Blahut
- Elizabeth Grace Blake
- Harlee Jean Blake
- Jean Blake
- Lauren Blake
- Morgan Bland
All providers in Morgantown, WV · Physical Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.