| David Blake, | |
|
2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109-4006 | |
| (801) 486-7542 | |
| Not Available |
| Full Name | David Blake |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 2295 S Foothill Dr Ste 1, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083467179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Land Rehabilitation Llc | 9234048745 | 207 |
| Registered Physical Therapists Inc | 9537151733 | 64 |
| Provider Name | Registered Physical Therapists Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477582633 PECOS PAC ID: 9537151733 Enrollment ID: O20040330001279 |
| Provider Name | Mountain Land Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20220401002028 |
| Mailing Address | Practice Location Address |
|---|---|
| David Blake, 5740 W Barn Rd Apt 2401, Herriman, UT 84096-5112 Ph: (801) 915-7248 | David Blake, 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109-4006 Ph: (801) 486-7542 |
Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931 |
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 |
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 |
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980 |
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 |
Eric Glad, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692 |
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548 |