Mia Blake

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

21 W Clarke Ave Ste 1050
Milford, DE 19963-1857

Phone

(302) 503-7650

NPI assigned

Jan 29, 2026

Last updated

Jan 29, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Polaris Healthcare & Rehabilitation Center

  • Occupational Therapist
  • Milford, DE
  • NPI 1295653244
  NPD (past)

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1891645826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BONCOUER RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1050",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631857",
            "telephone_number": "302-503-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond the Session Counseling & Wellness
• Bio-Medical Applications of Delaware, Inc. (Bma Milford)
• David Robert Birch, D.O.
• Andrea Marylin Bishop, PA-C
• W. Scott Blackson
• Robert M Blitzer, DDS
• Blue Moon Therapy & Consulting
• Gloria A Boardman, MSN RN APN
• Sarah Boddie
• Mark Bodin, P.T.

• Student in an Organized Health Care Education/Training Program in Milford, DE
• Providers in Milford, DE by specialty
• Student in an Organized Health Care Education/Training Program in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.