Blake C Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4 Okatie Center Blvd S Ste 101
Okatie, SC 29909-7530

Phone

(843) 705-9480

Fax

(843) 705-9481

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By the provider in NPPES

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optim Orthopedics LLCGroup PAC ID 9931427002, 101 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.

• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982
  Medicare reassignment Care Compare group NPD
• Elite Physical Therapy & Sports Performance Bluffton

  dba Elite Physcial Therapy & Sports Performance

  • Physical Therapist
  • Bluffton, SC
  • NPI 1821683517
  NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1467845404
  NPD
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Bluffton, SC
  • NPI 1528451481
  NPD (past)
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Midway, GA
  • NPI 1821639758
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1639806755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097530",
            "telephone_number": "843-705-9480",
            "fax_number": "843-705-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097530",
            "telephone_number": "843-705-9480",
            "fax_number": "843-705-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Sheridan Park Cir",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299107022",
            "country_code": "US",
            "telephone_number": "843-757-5566",
            "fax_number": "843-757-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAKE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Vincent Scavo, RPH
• Francesca Marie Schoning, DPT
• Richard Seawall, PT
• Barbara Leslie Slemmons, MSW
• Smith Plastic Surgery
• Brendan E Smith, M.D.
• South Carolina Health Service (Urgent Care Center at Bluffton Okatie)
• South Carolina Health Services (Bluffton Okatie Outpatient Center)
• South Carolina Health Services, Inc. (Bluffton-Okatie Outpatient Clinic)
• Richard Spector, PT,DPT

• Physical Therapist in Okatie, SC
• Providers in Okatie, 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 Aug 8, 2022; 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.