Blake H Lavin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61584366 Issued in WA

Practice address

6066 Highway 291
Nine Mile Falls, WA 99026-5008

Phone

(509) 465-5663

Fax

(509) 467-8663

NPI assigned

Oct 22, 2024

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phase 1 Physical Therapy PSGroup PAC ID 2860595071, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Phase 1 Physical Therapy PS

  • Physical Therapist
  • Nine Mile Falls, WA
  • NPI 1235189135
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1427879451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990260549",
            "telephone_number": "509-465-5663",
            "fax_number": "509-467-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 HIGHWAY 291",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990265008",
            "telephone_number": "509-465-5663",
            "fax_number": "509-467-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "BLAKE",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61584366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Spokane Therapies
• Angelica R Hulett, BSK, DPT
• Jodi Johnson-Katz, PTA
• Jessica Kaluza, LMHC
• Nuala Kelly, LMT
• Michael Jacob Loeffler, PHYSICIAN ASSISTANT
• Ashley Louie, PHARMD
• Stephanie M Martin, LMT
• Moller Enterprises Inc
• Corey Morrow

• Physical Therapist in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.