Blake Price, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019459 Issued in MI

Practice address

9219 Water St
Montague, MI 49437-9206

Phone

(231) 893-6655

Fax

(231) 893-4902

NPI assigned

Jan 3, 2020

Last updated

Dec 13, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoreline Rehab PLC

  • Specialist
  • Montague, MI
  • NPI 1548452659

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1306485628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 W MUSKEGON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401341",
            "telephone_number": "517-775-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 WATER ST",
            "city": "MONTAGUE",
            "state": "MI",
            "postal_code": "494379206",
            "telephone_number": "231-893-6655",
            "fax_number": "231-893-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Beacon Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172146",
            "country_code": "US",
            "telephone_number": "616-296-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa McGlue
• Mikes Family Pharmacy Inc (Mikes Family Pharmacy)
• Morrison Transportation
• Northern Lights Family Medicine P. C.
• David Pastoor, MD
• Colin Thomas Rabach, PA-C
• Rachel L Rager, CPHT
• Minda Rosel
• Joshua Ryder, CO
• Jacob Sauve, PAC

• Physical Therapist in Montague, MI
• Providers in Montague, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.