Blake Anders

Individual provider Active NPI Physical Therapist · Lebanon, TN

NPI 1649989294 · NPPES record last updated May 11, 2026

Key facts

NPI
1649989294
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
16527 (TN)
Practice address
920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136
Phone
(615) 547-6488
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Luna Care Physical Therapy LLC (7 clinicians)
Results-Ast JV LLC (390 clinicians)

Practice addresses (Care Compare)

5016 Centennial Blvd
Suite 200
Nashville, TN 37209-1577
Phone (866) 525-3175

920 S Hartmann Dr
Suite 330
Lebanon, TN 37090-4136
Phone (615) 547-6488

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260212002210 TN Practitioner - Physical Therapist in Private Practice 4082083407 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05014886AINMDPhysical Therapist
16527TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Luna Care Physical Therapy LLC Physical Therapist Current
since Dec 24, 2025
Accepting new patients
Physiopoint Therapy Physical Therapist Current
since Dec 6, 2022
Accepting new patients
Hospice of America, Inc Past
since Nov 27, 2022
Accepting new patients

Locations

12636 Wicker Ave
Cedar Lake, IN 46303
Phone 2198017777 ext. 1

1841 E Summit St
Crown Point, IN 46307
Phone 2198017777 ext. 1

2050 45th St
Highland, IN 46322
Phone (219) 801-7777

5016 Centennial Blvd
Ste 200
Nashville, TN 37209
Phone (615) 212-8284

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16527 TN Yes
Physical Therapist 225100000X 05014886A IN

Addresses

Primary practice location

920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

1841 E Summit St
Crown Point, IN 46307-2768
Phone (219) 801-7777

Other practice location 2

12636 Wicker Ave
Cedar Lake, IN 46303
Phone (219) 801-7777

Other practice location 3

2050 45th St
Highland, IN 46322-2388
Phone (219) 801-7777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2026.

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1649989294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HARTMANN DR STE 330",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904136",
            "telephone_number": "615-547-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 E Summit St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463072768",
            "country_code": "US",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12636 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "46303",
            "country_code": "US",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 45th St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222388",
            "country_code": "US",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16527",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014886A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

All providers in Lebanon, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.