Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Physical Therapy, PC

Organization Orthopedic Physical Therapist · NPI 1750350476

Blake Physical Therapy, PC is an Orthopedic Physical Therapist in Santa Monica, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1714 17th St
Santa Monica, CA 90404-4410
Phone: (310) 392-7889
Fax: (310) 314-4431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT17676 (CA)

Record details

NPI number1750350476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Blake — Owner · (310) 392-7889
NPI enumeratedMarch 15, 2006
Last updated in NPPESDecember 4, 2017
Mailing address1714 17th St, Santa Monica, CA 90404-4410

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