Blake E Wood, PT61183730

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61183730 Issued in WA

Practice address

2748 Milton Way Ste 207
Milton, WA 98354-9379

Phone

(253) 925-5623

Fax

(253) 661-9771

NPI assigned

Jul 16, 2021

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Hill Physical Therapy, Inc.Group PAC ID 5799972287, 2 clinicians

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

• North Hill Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Milton, WA
  • NPI 1548452071
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1568034643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 MILTON WAY STE 207",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549379",
            "telephone_number": "253-925-5623",
            "fax_number": "253-661-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 MILTON WAY STE 207",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549379",
            "telephone_number": "253-925-5623",
            "fax_number": "253-661-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BLAKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT61183730",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61183730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Edward Watson
• Laura L Wieth, L.M.P.
• Lindsay Jennifer Wilkison, SLP
• Kevin Woodd Willcox, LMP, NCSA-CPT
• Teresa Ann Erickson Wills, OD
• Madeleine Wright
• Doris Yatta
• David Yearwood
• Abby Yuan
• Roksolana Zapotichna

• Physical Therapist in Milton, WA
• Providers in Milton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.