Blake Miglin, PT, DPT, OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1308356 Issued in TX

Practice address

4364 Heritage Trace Pkwy Ste 108
Fort Worth, TX 76244-9125

Phone

(817) 379-1400

Fax

(817) 379-1404

NPI assigned

Aug 9, 2018

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nto Physician Partners, PLLC

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1114443181
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1841779998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 HERITAGE TRACE PKWY STE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449125",
            "telephone_number": "817-379-1400",
            "fax_number": "817-379-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIN",
        "first_name": "BLAKE",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1308356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Middleton
• Midtown Medical Imaging - Alliance
• Midtown Medical Imaging - Fort Worth, LLC
• Midtown Medical Imaging Limited
• Midwife & Company PLLC
• Caleb Paul Migura
• Joshua Angelo Mihalik
• Cody L Mihills, M.D.
• Carlos J Mijares, MD
• Lisa Diane Mijares, AGNP

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.