Blake David Reinke, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

004814 Issued in IA

Practice address

1008 18TH St
Spirit Lake, IA 51360-1014

Phone

(712) 546-1718

NPI assigned

Jul 18, 2011

Sex

Male

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 IA

Enrollment records 1

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 and National Provider Directory roles.

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  IA

  Medicare reassignment NPD
• Le Mars Physical Therapy

  • Physical Therapy Clinic/Center
  • Le Mars, IA
  • NPI 1932369352

  Sports

  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1225326754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510310921",
            "telephone_number": "712-546-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601014",
            "telephone_number": "712-546-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "BLAKE",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IA",
            "license": "004814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Grace Powers, BSN, RN
• Hannah Marie Prather, RN
• Precision Hearing Center, Inc.
• Amber Lynn Rakotz, LPN
• Reflective Living, PLLC
• Jessica Leigh Reinking, ARNP
• Taylor Grace Richter, BCBA
• Svetlana Rivilis, DO
• Robert L. Livingston, O.D.P.C.
• David Rodawig

• All providers in Spirit Lake, IA
• Sports Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.