Individual provider Active NPI

Blake Penley, DPT

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1730064767
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
231 N New York Ave
Winter Park, FL 32789-3117
Phone
(407) 599-3700
NPI assigned
Aug 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 Primary

Addresses

Primary practice location

231 N New York Ave
Winter Park, FL 32789-3117

Mailing address

9608 Saramago Aly
Orlando, FL 32827-5022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250901000012 FL Practitioner - Physical Therapist in Private Practice 4981105806 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
Sportscare Institute LLCGroup PAC ID 2365626272, 14 clinicians

Practice addresses (Care Compare)

231 N New York Ave
Winter Park, FL 32789-3117
Phone (407) 599-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Institute, LLC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients

Locations

7408 Lake Worth Rd
Ste 500
Lake Worth, FL 33467
Phone (561) 432-3693

5970 S Jog Rd
Ste A
Lake Worth, FL 33467
Phone (561) 432-3693

231 N New York Ave
Winter Park, FL 32789
Phone (407) 599-3700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1730064767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 SARAMAGO ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N NEW YORK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893117",
            "telephone_number": "407-599-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLEY",
        "first_name": "BLAKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.