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

Bevan D Blake, PT, DPT

Individual provider Physical Therapist · NPI 1114928868

Bevan D Blake, PT, DPT is a Physical Therapist in Private Practice in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2007, 19 years ago. Practices with In Motion Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

370 E South Temple #250
Salt Lake City, UT 84111-1206
Phone: (801) 512-2656
Fax: (801) 906-0336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 344859-2401 (UT)

Record details

NPI number1114928868
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESOctober 10, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice In Motion Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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