Active NPI
Blake Litton Fletcher, DPT
- Physical Therapist
- Irmo, SC
National Provider Identifier
1205273620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6960
- Practice address
- 10071 Broad River Rd Ste B
Irmo, SC 29063-2381 - Phone
- (803) 445-1069
- Fax
- (803) 445-1097
- NPI assigned
- May 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6960 | SC | Primary |
Addresses
Primary practice location
10071 Broad River Rd Ste B
Irmo, SC 29063-2381
Mailing address
141 Atrium Way
Columbia, SC 29223-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10071 Broad River Rd
Suite B
Irmo, SC 29063-2381
Phone (803) 445-1069
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy and Sports Medicine Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484
10071 Broad River Rd
Ste B
Irmo, SC 29063
Phone (803) 445-1069
863 Coleman Blvd
Ste B
Mt Pleasant, SC 29464
Phone (843) 881-8887
Organizations & group practices 1
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1487180881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1205273620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ATRIUM WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10071 BROAD RIVER RD STE B",
"city": "IRMO",
"state": "SC",
"postal_code": "290632381",
"telephone_number": "803-445-1069",
"fax_number": "803-445-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "BLAKE",
"middle_name": "LITTON",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-24",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.