MRS. NICOLE MARIE BLAKE (NPI# 1750676904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750676904 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE BLAKE |
| Credential | DPT |
| Practice Address |
4924 Campbell Blvd Baltimore MD 21236-5908 |
| Mailing Address |
737 S Decker Ave Baltimore MD 21224-3946 |
| Practice Telephone | 4434422050 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 23660 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1699384057 | Nicole Blake | Behavior Technician | 1724 Marshall St, Baltimore, MD 21230-4819 | 2020-07-30 |
| Street Address |
4924 CAMPBELL BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415388 | Tigist Hailu | Internal Medicine | 4924 Campbell Blvd, Ste 110, Baltimore, MD 21236-5908 | 2005-05-31 |
| 1558652776 | Thomas Adams Corson | Internal Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2011-04-21 |
| 1497055123 | Virginia E. Conner | Physician Assistant | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2010-10-28 |
| 1952615791 | Erin Lindsay Johnson | Physical Therapist | 4924 Campbell Blvd, Ste 130-a, Baltimore, MD 21236-5908 | 2010-08-04 |
| 1922251701 | Patient First Maryland Medical Group, Pllc | Non-Pharmacy Dispensing Site | 4924 Campbell Blvd, Ste 125, Baltimore, MD 21236-5908 | 2008-10-24 |
| 1952552267 | Patient First Maryland Medical Group Pllc | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-10-06 |
| 1023272747 | Jason Donald Main | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1376707000 | Alexander Marcus Steiner | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1164699310 | Nana Yaw Ampaw Adu-sarkodie | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-05-15 |
| 1710169446 | Arman Janloo | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1235736984 | Dawn Maria Seestedt | Physical Therapist | 2501 Poplar Dr, Baltimore, MD 21207-6032 | 2020-10-06 |
| 1023615929 | Nicholas Alan Ritter | Physical Therapist | 2709 Hampden Ave, Baltimore, MD 21211-3031 | 2020-10-04 |
| 1265048227 | Rehab At Home, LLC | Physical Therapist | 6514 Edenvale Rd, Baltimore, MD 21209-2721 | 2020-09-16 |
| 1811501281 | Jeffery Alexander Diorio | Physical Therapist | 1316 Light St Apt B, Baltimore, MD 21230-4077 | 2020-09-03 |
| 1790302172 | National Rehabiliation Hospital, Inc | Physical Therapist | 3333 N Calvert St Ste 210, Baltimore, MD 21218-2867 | 2020-07-01 |
| 1528688413 | Lawrence Arthur Adams | Physical Therapist | 1608 Light St, Baltimore, MD 21230-4917 | 2020-04-21 |
| 1457971517 | Jennifer Marcus | Physical Therapist | 3505 Shelburne Rd, Baltimore, MD 21208-5630 | 2020-04-19 |
| 1043844897 | Apex Diagnostics LLC | Physical Therapist | 2700 Lighthouse Pt E Ste 405, Baltimore, MD 21224-4777 | 2020-03-02 |
| 1073152500 | Jason Seltzer | Physical Therapist | 21 S Robinson St, Baltimore, MD 21224-2256 | 2020-01-01 |
| 1568013811 | Erika Opoku | Physical Therapist | 1332 Northview Rd, Baltimore, MD 21218-1445 | 2019-09-26 |
| Find all providers in BALTIMORE | ||||
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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.