Blake Charles Mann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0014376 Issued in DE

Practice address

1255 S State St Ste 7
Dover, DE 19901-6932

Phone

(302) 734-0100

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Results Physical Therapy LLCGroup PAC ID 3476915216, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.05 of 100Reported as group

Quality

80

Improvement activities

40

Cost

70.16

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Advantage Results Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Harrisonburg, VA
  • NPI 1679258453

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1104493089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S SPINNAKER LN",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681538",
            "telephone_number": "302-500-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S STATE ST STE 7",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016932",
            "telephone_number": "302-734-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "BLAKE",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Maloney, CRNA
• Karla Mancilla Roman, PA-C
• Kristen Mancinelli, RD
• Nicholas J Mandalakas, M.D.
• Stephen G Manifold, M.D.
• Latonya E Mann, FNP
• Sandeep Mann, M.D.
• John Dana Mannion, M.D.
• Alpha Yayah Mansaray Jr., MD
• Michelle C Manuszak, LPCMH

• Physical Therapist in Dover, DE
• Providers in Dover, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.