Hannah Marie Blake
Individual provider Active NPI Speech-Language Pathologist · Davison, MI
NPI 1265291306 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1265291306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1214 Lempi Dr
Davison, MI 48423-2884 - Phone
- (810) 399-9779
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241017001316 | MI | Practitioner - Qualified Speech Language Pathologist | 9133651979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Rehabilitation & Wellness, L.L.C. | Current |
Accepting new patients | |
| Hamtramck Orthopedic Physical Therapy, Inc. | Past | Accepting new patients |
Locations
184 N Main St
Ste A
Frankenmuth, MI 48734
Phone (989) 262-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1214 Lempi Dr
Davison, MI 48423-2884
Mailing address
1214 Lempi Dr
Davison, MI 48423-2884
Phone (810) 399-9779
Other providers in Davison, MI
- Terisa Maria Berger
- Ashley Jeanette Berry
- Trevor Graham Bet
- Biblical Health LLC
- Lisa Bice
- Blue Sky Therapy Services, LLC
- Bluesky Rehabilitation Therapies
- Boanerges
- Christian Charles Bohlke
- Rachel Booth
All providers in Davison, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.