Kai Danare Blake, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT41029 Issued in FL

Practice address

3361 Raymond Diehl Business LN
Tallahassee, FL 32308-2800

Phone

(850) 727-5406

NPI assigned

Nov 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Base Physical Therapy LLCGroup PAC ID 5799930640, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Base Physical Therapy LLC

  • Specialist
  • Tallahassee, FL
  • NPI 1841538113
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1730952466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 BRYNMAHR DR # B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033296",
            "telephone_number": "623-810-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 RAYMOND DIEHL BUSINESS LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082800",
            "telephone_number": "850-727-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "KAI",
        "middle_name": "DANARE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT41029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Blair, APRN
• Blair's Counseling Service
• Ashlee Marie Blake, FNP-BC
• Camille Jeanette Blake, D.O.
• Fitz Blake Jr.
• Raven Blake
• Shana Lesti Blakeney, CNFP
• Kristen Taylor Bland, APRN
• Shelby Larue Blank, MD
• Allison Paige Blankenship, PHD

• Orthopedic Physical Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.