Individual provider Active NPI

Blake E Berry, PT, DPT

  • Physical Therapist
  • Covington, KY
National Provider Identifier
1225989809
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009529 Issued in KY
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.

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
009529KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Rehabilitation Services Inc Physical Therapist CurrentSince Feb 4, 2026 Accepting new patients
Kentucky Rehabilitation Services Inc PastSince Feb 4, 2026 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 009529 KY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.