Blake Leblanc, DPT, PT, MS,ATC, LAT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005461 Issued in KY

Practice address

2800 S Floyd St
Louisville, KY 40292-1818

Phone

(502) 852-8778

Fax

(502) 852-7123

NPI assigned

Nov 14, 2013

Last updated

Nov 14, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prorehab Louisville

  • Physical Therapist
  • Crestwood, KY
  • NPI 1982473880
  NPD

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1457781288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S FLOYD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402921818",
            "telephone_number": "502-852-8778",
            "fax_number": "502-852-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S FLOYD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402921818",
            "telephone_number": "502-852-8778",
            "fax_number": "502-852-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, MS,ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005461",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rae Leaver, APRN
• Aaron Louis Leavitt, PHARMD, MBA
• Linda Leavitt
• Rebecca Meredith Leavitt, MD
• Stephen Patrick Lebder, MD
• Amber Lebo, RBT
• Melissa Lebo, APRN
• Lec Ancillary PLLC
• Michele Lee Lecates
• Jay Lechner, DPM

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.