Blair Renee Gates, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292446 Issued in CA

Practice address

11276 5TH St Ste 400
Rancho Cucamonga, CA 91730-0923

Phone

(909) 481-0437

Fax

(909) 481-0837

NPI assigned

Jan 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blair Renee Clark Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rancho Physical Therapy IncGroup PAC ID 2365346491, 29 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 and National Provider Directory roles.

• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  Medicare reassignment Care Compare group NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • Corona, CA
  • NPI 1669691051
  Medicare reassignment NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1689905325
  NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1982859021
  NPD

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1679018238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30428 HAUN RD STE 810",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846824",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11276 5TH ST STE 400",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300923",
            "telephone_number": "909-481-0437",
            "fax_number": "909-481-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "BLAIR",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "CLARK",
            "middle_name": "RENEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Marie Garibay
• Cadence Gassaway
• Crystal Gastelum
• Rosemary Gastelum
• Joseph Bryan Jovito Francisco Gatchalian, RPT
• Gateway Medicor - Rancho Cucamonga Inc.
• Rheanne Madison Gatmaitan, DMD
• William Randolph Gause, N.P.
• Analy Gaytan
• Carlos Joel Gaytan, LCSW

• Physical Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.