Brock Aaron Blecha

Individual provider Active NPI Physical Therapist · Summerville, SC

NPI 1336093608 · NPPES record last updated Feb 24, 2026

Key facts

NPI
1336093608
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
13295 (SC)
Practice address
1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Phone
(843) 719-7473
NPI assigned
Feb 24, 2026
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13295SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Above Physical Therapy LLC Physical Therapist Past
since Apr 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13295 SC Yes

Addresses

Primary practice location

1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397

Mailing address

1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397

Other providers in Summerville, SC

All providers in Summerville, SC · Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.