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

Adam Blake

Individual provider Orthopedic Physical Therapist · NPI 1275203127

Adam Blake is an Orthopedic Physical Therapist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2021.

Licensed in
AR
In the registry since
2021

Practice location Address checks out

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone: (479) 595-0711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 4965 (AR)

Record details

NPI number1275203127
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address2668 E Citizens Dr, Ste 5, Fayetteville, AR 72703-4796

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