Erin Blake, PT
Individual provider Active NPI Physical Therapist · Tiffin, OH
NPI 1659490290 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659490290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 011710 (OH)
- Practice address
- 541 W Market St
Tiffin, OH 44883-2572 - Phone
- (419) 448-3600
- Fax
- (419) 448-3610
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011710 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optima Rehabilitation Services, LTD. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011710 | OH | Yes |
Addresses
Primary practice location
541 W Market St
Tiffin, OH 44883-2572
Mailing address
15815 Wolf Run
Findlay, OH 45840-8696
Phone (419) 447-7203
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.