Active NPI
Elizabeth Blake, D.O.
- Physical Medicine & Rehabilitation Physician
- Bethesda, MD
National Provider Identifier
1497914048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- H0048117
- Practice address
- 8721 Bradmoor Dr
Bethesda, MD 20817-3636 - Phone
- (301) 571-9781
- NPI assigned
- Jun 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | H0048117 | MD | Primary |
Addresses
Primary practice location
8721 Bradmoor Dr
Bethesda, MD 20817-3636
Mailing address
8721 Bradmoor Dr
Bethesda, MD 20817-3636
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0048117 | MD | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212883200000",
"number": "1497914048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8721 BRADMOOR DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8721 BRADMOOR DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173636",
"telephone_number": "301-571-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-08",
"last_updated": "2008-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "H0048117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.