Individual provider Active NPI

Blake Vanderploeg, PT, DPT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1710845631
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0021029 Issued in CO
Practice address
4045 Wadsworth Blvd Ste 210
Wheat Ridge, CO 80033-4624
Phone
(303) 953-3163
Fax
(303) 245-0726
NPI assigned
Jan 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 PTL.0021029 CO Primary

Addresses

Primary practice location

4045 Wadsworth Blvd Ste 210
Wheat Ridge, CO 80033-4624

Mailing address

4045 Wadsworth Blvd Ste 210
Wheat Ridge, CO 80033-4624
Phone (303) 953-3163

Other practice location 1

8020 Lee Dr
Arvada, CO 80005-2078
Phone (303) 422-1755

Other names 1

  • Blake Winslow Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320000049 CO Practitioner - Physical Therapist in Private Practice 6103300876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4045 Wadsworth Blvd
Suite 210
Wheat Ridge, CO 80033-4624
Phone (303) 953-3163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0021029COMDPhysical Therapist

Organizations & group practices 1

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": "1768003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1710845631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334624",
            "telephone_number": "303-953-3163",
            "fax_number": "303-245-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334624",
            "telephone_number": "303-953-3163",
            "fax_number": "303-245-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800052078",
            "country_code": "US",
            "telephone_number": "303-422-1755",
            "fax_number": "303-422-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERPLOEG",
        "first_name": "BLAKE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-01-10",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0021029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "WINSLOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.