NPI
Michael Jack Blake
NPI 1295560100
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DPT
- Type
- Individual
- Enumeration date
- 2024-09-03
- Last updated
- 2025-08-05
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
- License MI
- 5501303478
- License CO
- 20757
Location
- Practice location
- 390 S Wilcox St Ste B
- City
- Castle Rock CO
- Postal code
- 80104-1951
- Phone
- (303) 839-8068
- Fax
- (303) 835-3597
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physical Therapists in Castle Rock, CO. 117 with this primary taxonomy in the public file.
Other NPIs in Castle Rock, CO. 1,949 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.