Active NPI
Robin L Blake, PT
- Physical Therapist
- Murray, KY
National Provider Identifier
1487872560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001493
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-1137
- Fax
- (270) 762-1799
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001493 | KY | Primary |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
1696 Soldier Creek Rd
Benton, KY 42025-4656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001493 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487872560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1696 SOLDIER CREEK RD",
"city": "BENTON",
"state": "KY",
"postal_code": "420254656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-1137",
"fax_number": "270-762-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "ROBIN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "001493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.