NPIMap

Organization Active NPI

Blake & Associates Inc

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1588646152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BLAKE & ASSOCIATES INC
Practice address
5754 Bridgetown Rd
Ste B2
Cincinnati, OH 45248-3100
Phone
(513) 661-6555
Fax
(513) 661-6556
NPI assigned
Nov 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine Sheila Blake, PT
Title
President
Phone
(513) 661-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5754 Bridgetown Rd
Ste B2
Cincinnati, OH 45248-3100

Mailing address

5754 Bridgetown Rd
Ste B2
Cincinnati, OH 45248-3100
Phone (513) 661-6555

Other identifiers 1

IdentifierTypeStateIssuer
000000009629OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000510 OH Part B Supplier - Clinic/Group Practice 9638076276 Receives reassigned benefits from 8 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

5754 Bridgetown Rd
Cincinnati, OH 45248
Phone (513) 481-6100

5754 Bridgetown Rd
Ste B2
Cincinnati, OH 45248
Phone (513) 661-6555

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588646152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 BRIDGETOWN RD",
            "address_2": "STE B2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483100",
            "telephone_number": "513-661-6555",
            "fax_number": "513-661-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 BRIDGETOWN RD",
            "address_2": "STE B2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483100",
            "telephone_number": "513-661-6555",
            "fax_number": "513-661-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-661-6555",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000009629",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.