Active NPI
Blake E Berry, PT, DPT
- Physical Therapist
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009529
- Practice address
- 212 Levassor Ave
Covington, KY 41014-1734 - Phone
- (859) 392-3175
- NPI assigned
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 Therapy Clinic/Center
- Crescent Springs, KY
- NPI 1790780617
KY, Physical Therapist
-
- Rehabilitation Clinic/Center
- Hebron, KY
- NPI 1669070363
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260323002039 | KY | Practitioner - Physical Therapist in Private Practice | 9032693585 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009529 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Kentucky Rehabilitation Services Inc | Past | Accepting new patients |
Locations
580 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 341-6654
2600 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 442-8200
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009529 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
212 Levassor Ave
Covington, KY 41014-1734
Mailing address
8 Highland Meadows Dr Ste 11
Highland Heights, KY 41076-3756
Phone (614) 584-4190
Other practice location 1
2600 Alexandria Pike
Highland Heights, KY 41076-1590
Phone (859) 572-0710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2026.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1225989809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HIGHLAND MEADOWS DR STE 11",
"city": "HIGHLAND HEIGHTS",
"state": "KY",
"postal_code": "410763756",
"telephone_number": "614-584-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 LEVASSOR AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410141734",
"telephone_number": "859-392-3175"
}
],
"practiceLocations": [
{
"address_1": "2600 Alexandria Pike",
"address_purpose": "LOCATION",
"city": "Highland Heights",
"state": "KY",
"postal_code": "410761590",
"country_code": "US",
"telephone_number": "859-572-0710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "BLAKE",
"middle_name": "E",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "009529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.