Individual provider Active NPI

Blake Austin Hampton, DPT

  • Physical Therapist
  • Stone Mountain, GA
National Provider Identifier
1699229617
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012527 Issued in GA
Practice address
1825 Rockbridge Rd Ste 15a
Stone Mountain, GA 30087-3301
Phone
(470) 977-2100
Fax
(470) 977-2101
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012527 GA Primary

Addresses

Primary practice location

1825 Rockbridge Rd Ste 15a
Stone Mountain, GA 30087-3301

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718002548 GA Practitioner - Physical Therapist in Private Practice 8224308648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

1825 Rockbridge Rd
Suite 15a
Stone Mountain, GA 30087-3301
Phone (470) 977-2100

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012527GAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Physical Therapy, LLC Physical Therapist CurrentSince Feb 25, 2019 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Dynamic Swing Performance, LLC Orthopedic Current Accepting new patients
Motion Stability, LLC Physical Therapist PastSince Feb 23, 2025 Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste 303
Atlanta, GA 30327
Phone (470) 300-6030

3280 Peachtree Rd NE
Ste 110B
Atlanta, GA 30305
Phone (404) 382-8702

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

910 Parkside Walk Ln
Ste 101
Lawrenceville, GA 30043
Phone (470) 944-1150

5510 Spalding Dr
Ste B
Peachtree Corners, GA 30092
Phone (404) 382-8702

1825 Rockbridge Rd
Ste 15A
Stone Mountain, GA 30087
Phone (470) 977-2100

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1699229617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 ROCKBRIDGE RD STE 15A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873301",
            "telephone_number": "470-977-2100",
            "fax_number": "470-977-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "BLAKE",
        "middle_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.