Blake Koeval

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P24419 Issued in NC

Practice address

1433 US Highway 21 S
Sparta, NC 28675-8641

Phone

(336) 846-7227

NPI assigned

Sep 5, 2025

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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schuster Physical Therapy IncGroup PAC ID 0446562995, 18 clinicians

Practice addresses (Care Compare)

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.

• Schuster Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Jefferson, NC
  • NPI 1710388772
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1275413593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 US HIGHWAY 21 S",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 US HIGHWAY 21 S",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758641",
            "telephone_number": "336-846-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEVAL",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Joines, LCSW
• Keith Oliver Dr
• Morgen Keith
• Kerr Drug Inc
• Robert Duane Klingensmith, DC
• Angela Abegail Krider, LCSW
• Brenda Sue Langhans, PNP
• Georgia Latham, MD
• Linda Laws
• Lawson Support Services

• Physical Therapist in Sparta, NC
• Providers in Sparta, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.