Robert O Blake, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

PA0002487 Issued in PA

Practice address

275 S Houcks Rd
Harrisburg, PA 17109-2907

Phone

(717) 657-2561

Fax

(717) 657-8217

NPI assigned

Mar 7, 2007

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 PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Blake Chiropractic & Rehab Clinic Inc

  • Rehabilitation Chiropractor
  • Harrisburg, PA
  • NPI 1871666990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447380456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S HOUCKS RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092907",
            "telephone_number": "717-657-2561",
            "fax_number": "717-657-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S HOUCKS RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092907",
            "telephone_number": "717-657-2561",
            "fax_number": "717-657-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ROBERT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "PA0002487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Blaha
• Sally Ann Blaine, MD
• Angela Blair
• Blake Chiropractic & Rehab Clinic Inc
• Chiquita Blake
• Vonda L Blasick, CRNP
• Rachel L Blatt, BA
• Rebecca Blazi, M.A. CCC-SLP
• Thomas Blazi, CRNP
• Ralph Daniel Bledsoe, M.D.

• Rehabilitation Chiropractor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.