Blake Timothy Risher, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12125 Issued in SC

Practice address

301 E Dekalb St
# B
Camden, SC 29020-4495

Phone

(803) 432-2432

Fax

(803) 432-1779

NPI assigned

Feb 1, 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 SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro-Motion Physical Therapy of Florence SC LLCGroup PAC ID 8820307580, 18 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.

• Pro-Motion Physical Therapy of Florence, SC, LLC

  • Physical Therapist
  • Lake City, SC
  • NPI 1821474115
  Medicare reassignment Care Compare group NPD
• Pro-Motion Physical Therapy of Camden, SC, LLC

  • Physical Therapist
  • Camden, SC
  • NPI 1427630284
  NPD
• Camden Rehab, LLC

  • Physical Therapy Clinic/Center
  • Camden, SC
  • NPI 1629037411

  Physical Therapist

  NPD (past)
• Ih3 Physcial Therapy

  dba CPM Physical Therapy

  • Physical Therapy Clinic/Center
  • Lake City, SC
  • NPI 1104145697

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1528821667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "803-693-5040",
            "fax_number": "803-993-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DEKALB ST",
            "address_2": "# B",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204495",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISHER",
        "first_name": "BLAKE",
        "middle_name": "TIMOTHY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Blair Razick, MD
• Mallory Taylor Reed, BS
• Michele M. Reeder
• Valarie Reese, MS, EDS, LPES
• Renewal Wound Care Georgia LLC
• Sherry Lynn Robbins
• Cynthia Kinard Robinson, MSP, CCC-SLP
• Latasha Necole Robinson, APRN, PMHNP-BC
• Sara Smith Robinson, PHD, LISW-CP
• Rocky Mountain Holdings, LLC (LifeNet)

• Physical Therapist in Camden, SC
• Providers in Camden, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.