EMILY A BLAKE (NPI# 1376903039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376903039 |
| Entity Type | Individual |
| Full Name | EMILY A BLAKE |
| Practice Address |
2627 Riverside Ave Fl 3 Jacksonville FL 32204-4712 |
| Mailing Address |
6500 Bowden Rd Ste 103 Jacksonville FL 32216-8066 |
| Practice Telephone | 9046340640 |
| Practice Fax Number | 9046340203 |
| Mailing Telephone | 9046340640 |
| Mailing Fax Number | 9046340203 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PTA24202 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PT24202 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1835 Eastwest Pkwy, Suite 16, Orange Park, FL 320036336 | 9042153958 | 9042153970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1821516436 | Emily Elizabeth Blake | Dietitian, Registered | 107 Cross St Unit A, Winchester, MA 01890 | 2017-09-03 |
| 1346371747 | Emily Jane Blake | Obstetrics & Gynecology | 23b Grand Ave, Nyack, NY 10960-1615 | 2007-03-08 |
| 1336752112 | Emily Blake | Behavioral Analyst | 110 Cedar St, Wellesley, MA 02481-3527 | 2020-08-31 |
| 1821659921 | Emily Katherine Blake | Nurse Practitioner | 12 Jackson St, Hopkinton, MA 01748-2569 | 2019-06-28 |
| 1225535826 | Emily Blake | Registered Nurse | 6400 E Broad St Ste 400, Columbus, OH 43213-1505 | 2018-04-10 |
| 1235635848 | Emily Elisabeth Blake | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 210, Indianapolis, IN 46260-1972 | 2018-04-03 |
| 1225344427 | Emily Lorraine Blake | Case Manager/Care Coordinator | 456 Elm Ave, Long Beach, CA 90802-2426 | 2010-08-25 |
| 1194972331 | Emily Blake | Speech-Language Pathologist | 4501 Southlake Pkwy, Suite 200, Hoover, AL 35244-3644 | 2008-08-19 |
| Street Address |
2627 RIVERSIDE AVE FL 3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011741 | Frank R Collier Jr. | Physical Medicine & Rehabilitation | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2006-04-08 |
| 1659897379 | Daniel P. Jose | Physician Assistant | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2017-08-15 |
| 1417472572 | Danielle E. Gipson | Physical Therapy Assistant | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2017-08-10 |
| 1205351293 | Clarissa M. Wynn | Physical Therapy Assistant | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2017-08-10 |
| 1720522964 | Gabriel P. Galan | Podiatrist | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204 | 2016-12-07 |
| 1003235599 | Paul Christopher Steinke | Physician Assistant | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 | 2014-04-10 |
| 1952745358 | Thomas Jackson Downey | Physician Assistant | 2627 Riverside Ave Fl 3, Jacksonville, FL 32204 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059196 | Michaela Moran | Physical Medicine & Rehabilitation | 2750 John Prom Blvd, Jacksonville, FL 32246-3921 | 2019-02-11 |
| 1972708584 | Marisol E Arcila | Physical Medicine & Rehabilitation | 1325 San Marco Blvd Ste 4a, Jacksonville, FL 32207-8568 | 2007-06-15 |
| 1275665283 | Tracy Nicole Wilcox | Physical Medicine & Rehabilitation | 14564 Harewood Ct, Jacksonville, FL 32258-1718 | 2007-03-12 |
| 1194345520 | United Pain and Spine Institute LLC | Physical Medicine & Rehabilitation | 3688 Burnt Pine Dr, Jacksonville, FL 32224-0870 | 2020-04-27 |
| 1275043895 | Michaela Grace Meadows | Physical Medicine & Rehabilitation | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2017-10-10 |
| 1508952045 | Howard Bruce Weiss | Physical Medicine & Rehabilitation | 3901 University Blvd S, Suite 103, Jacksonville, FL 32216-4312 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372027 | Wholehealth Physical Therapy, LLC | Physical Medicine & Rehabilitation | 21123 Via Ventura, Boca Raton, FL 33433-2230 | 2019-11-27 |
| 1306404843 | Gregory Carvajal | Physical Medicine & Rehabilitation | 3425 Nw 180th St, Miami Gardens, FL 33056-3429 | 2019-05-30 |
| 1194298216 | Courtney Quinn | Physical Medicine & Rehabilitation | 6233 Royal Tern St, Orlando, FL 32810-6085 | 2019-01-11 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1003266537 | Christiana Marron | Physical Medicine & Rehabilitation | 800 E Broward Blvd Ste 102, Fort Lauderdale, FL 33301-2020 | 2016-06-15 |
| 1780046177 | Shawn Darmond Homans | Physical Medicine & Rehabilitation | 13539 N Florida Ave, Tampa, FL 33613-3203 | 2016-03-24 |
| 1376933507 | Jessica Benshoshan | Physical Medicine & Rehabilitation | 6251 Palm Trace Landings Dr, Apt # 113, Davie, FL 33314-1841 | 2015-01-26 |
| 1346515020 | Joshua Rothenberg | Physical Medicine & Rehabilitation | 3313 W Hillsboro Blvd Ste 201, Deerfield Beach, FL 33442-9423 | 2012-03-14 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.