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
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
Results-Ast JV LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260212002210 | TN | Practitioner - Physical Therapist in Private Practice | 4082083407 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05014886A | IN | MD | Physical Therapist |
| 16527 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Physiopoint Therapy | Physical Therapist | Current |
Accepting new patients |
| Hospice of America, Inc | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Teresa A Ament
- Ameri-Kare Incorporated
- American Behavioral Consultants
- American National Home Health Inc
- Ashley Amos
- Kenneth W. Anderson
- Stephanie Anderson
- Anesthesia Services of Middle Tennessee, PLLC
- Anesthesia Services of Wilson County PLLC
- Alexa Rae Anglin
All providers in Lebanon, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.