Stephanie Kay Blake, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9908 Issued in TN

Practice address

8020 Asheville Hwy
Knoxville, TN 37924-3005

Phone

(865) 465-6100

NPI assigned

Jan 13, 2015

Sex

Female

Sole proprietor

No

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P4 Physical Therapy Limited PartnershipGroup PAC ID 3779950647, 64 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P4 Physical Therapy Limited Partnership

  • Physical Therapist
  • Knoxville, TN
  • NPI 1952039521
  Medicare reassignment Care Compare group NPD
• P4 Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1467228676

  Physical Therapist

  NPD

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1164811279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN STE 201",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166821",
            "telephone_number": "865-465-6100",
            "fax_number": "865-225-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379243005",
            "telephone_number": "865-465-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8537 Asheville Hwy",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379244124",
            "country_code": "US",
            "telephone_number": "865-225-7300",
            "fax_number": "865-225-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Allen Blake, PTA
• Michael Blake, B.S.
• Michael C. Blake, M.D.
• Patricia Gabrielle Blake, LCSW
• Patrick Grayson Blake, DPT
• Teresa Marie Blake, M.S.
• Amanda Blakely
• Shelynda Katherine Blakely
• Kelsey Blalock, OD
• Melissa H Blalock

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.