TIMOTHY E. BLAKE (NPI# 1649602723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649602723 |
| Entity Type | Individual |
| Full Name | TIMOTHY E. BLAKE |
| Credential | PT, DPT, CSCS |
| Practice Address |
5899 Bremo Rd Suite 100 Richmond VA 23226-1935 |
| Mailing Address |
1115 Boulders Pkwy Suite 200 North Chesterfield VA 23225-4067 |
| Practice Telephone | 8042852645 |
| Practice Fax Number | 8042872786 |
| Mailing Telephone | 8045605595 |
| Mailing Fax Number | 8045609029 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2305208076 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP MEDICARE PTAN | C05954 | 01 |
| VA | MEDICAID QMB ONLY | 1649602723 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508288135 | Timothy Blake | Hearing Instrument Specialist | 343 Elm St, Suite 204, Reno, NV 89503-4522 | 2014-01-16 |
| 1568796613 | Timothy G Blake | Psychologist | 2649 Park Ave, Minneapolis, MN 55407-1006 | 2009-09-22 |
| 1003044066 | Timothy Carl Blake | Counselor | 725 Highland Ave, Winston Salem, NC 27101-4206 | 2009-06-29 |
| 1891790986 | Timothy Daniel Blake | Ophthalmology | 5 Coliseum Ave, Nashua, NH 03063-3292 | 2005-06-16 |
| Street Address |
5899 BREMO RD SUITE 100 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508832783 | Susan D Kewer | Physician Assistant | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2006-02-27 |
| 1790278075 | Gregory B Crosswell | Physical Therapist | 5899 Bremo Rd, Richmond, VA 23226-1935 | 2018-06-11 |
| 1538544242 | Paige C Mcnally | Physician Assistant | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2015-07-23 |
| 1508298381 | Ethan Jeremiah Sherman | Physical Therapist | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2013-08-05 |
| 1235484007 | Sarah W Villacarillo | Occupational Therapist | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2012-07-18 |
| 1013277490 | Laura E Evans | Physician Assistant | 5899 Bremo Rd, Ste 100, Richmond, VA 23226-1935 | 2012-05-21 |
| 1215201744 | William Shea Kernodle | Physician Assistant | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2012-03-01 |
| 1851605786 | Christopher Wesley Wahl | Physical Therapist | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2010-08-03 |
| 1700027026 | Michael Heath Brown | Orthopaedic Surgery | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 | 2009-03-17 |
| 1275772485 | Meredith Whitehurst | Physical Therapist | 5899 Bremo Rd, Ist Floor, Richmond, VA 23226-1935 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422965 | Chandler Hagan Mcpherson | Physical Therapist | 1400 Gibson Bay Dr, Richmond, KY 40475-3800 | 2020-09-16 |
| 1518589902 | Pelvic Prana, LLC | Physical Therapist | 8 N Robinson St, Richmond, VA 23220-4430 | 2020-05-08 |
| 1407480882 | Stephen V Teng | Physical Therapist | 1500 Jackson St Ste 400, Richmond, TX 77469-3250 | 2020-02-25 |
| 1548804958 | Industrial Health, LLC | Physical Therapist | 9019 W Broad St, Richmond, VA 23294-5809 | 2019-10-30 |
| 1508426164 | Matthew Tyler Ward | Physical Therapist | 5899 Bremo Rd Ste 100b, Richmond, VA 23226-1935 | 2019-06-17 |
| 1255998837 | Kavitha Parasumanna Janarthanaa | Physical Therapist | 16806 Lessels Ln, Richmond, TX 77407-2258 | 2019-05-20 |
| 1467018101 | Chelsea Mannion | Physical Therapist | 20 S Boulevard Apt 4, Richmond, VA 23220-5797 | 2019-05-17 |
| 1578020111 | Aloysius Cabatingan | Physical Therapist | 22607 Duncan Brush Trce, Richmond, TX 77469-4766 | 2019-03-01 |
| 1952867509 | Confident Living Home Therapy Consulting LLC | Physical Therapist | 1276 Concord Ave, Richmond, VA 23228-6518 | 2019-02-19 |
| 1962968115 | Daily Touch LLC | Physical Therapist | 8900 Three Chopt Rd Ste D, Richmond, VA 23229-4615 | 2019-02-13 |
| Find all providers in RICHMOND | ||||
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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.