Individual provider Active NPI

Blake Anders

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1649989294
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16527 Issued in TN
Practice address
920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136
Phone
(615) 547-6488
NPI assigned
Nov 22, 2022
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16527 TN Primary
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

Medicare participation

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

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 1456740323, 7 clinicians
Results-Ast JV LLCGroup PAC ID 4486066396, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16527TNMDCertified Registered Nurse Anesthetist

Practice roles

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

Locations

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

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

2050 45th St
Highland, IN 46322
Phone 2198017777 ext. 1

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.