Individual provider Active NPI

Neil David Blake, OTR/L

  • Occupational Therapist
  • Cumberland, MD
National Provider Identifier
1316124100
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009748 Issued in PA
Practice address
11801 Industrial Park
Cumberland, MD 21502-5139
Phone
(301) 729-3485
Fax
(301) 729-0158
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009748 PA Primary

Addresses

Primary practice location

11801 Industrial Park
Cumberland, MD 21502-5139

Mailing address

11801 Industrial Park
Cumberland, MD 21502-5139
Phone (301) 729-3485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161228001035 WV Practitioner - Occupational Therapist in Private Practice 1850451238 Reassigns benefits to 1 organization
I20250131000963 PA Practitioner - Occupational Therapist in Private Practice 1850451238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare PT LPGroup PAC ID 3476790767, 17 clinicians

Practice addresses (Care Compare)

125 Willow Grove Dr
Everett, PA 15537-6932
Phone (814) 624-2497

3200 Fairway Dr
Altoona, PA 16602-4458
Phone (814) 941-7708

7448 Woodbury Pike
Roaring Spring, PA 16673-1600
Phone (814) 224-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC009748PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
X-Cel Performance Rehab LLC CurrentSince Nov 15, 2016 Accepting new patients
Procare PT LP CurrentSince Jan 1, 2025 Accepting new patients
Pro Care Health Systems Inc Past Accepting new patients
Staggers Heare & Whiteman PA Occupational Therapist Past Accepting new patients
Summit Rehabilitation LLC PastSince Feb 25, 2013 Accepting new patients
Encompass Health Rehabilitation Hospital of Altoona, LLC Past Accepting new patients

Locations

3200 Fairway Dr
Altoona, PA 16602
Phone (814) 941-7708

177 Meadowbrook Ln
Duncansville, PA 16635
Phone (814) 693-1440

310 Penn St
Ste 103
Hollidaysburg, PA 16648
Phone (814) 695-2923

7448 Woodbury Pike
Roaring Spring, PA 16673
Phone (814) 224-5566

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1316124100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 INDUSTRIAL PARK",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025139",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 INDUSTRIAL PARK",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025139",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "NEIL",
        "middle_name": "DAVID",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.