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

Andrew Blake

Individual provider Physical Therapist · NPI 1629766464

Andrew Blake is a Physical Therapist in Private Practice in Mobile, Alabama. Qualified in 2023, 3 years ago. Practices with Agilitas USA, Inc, a 810-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2344 Schillinger Rd S Ste 1B
Mobile, AL 36695-4177
Phone: (251) 301-9812
Fax: (251) 301-9813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3947 Gulf Shores Pkwy, Gulf Shores, AL 36542-2735 — (251) 943-0803
  • 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 — (404) 624-5407

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTH11359 (AL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1629766464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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