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

Blake A. Ballard, PTA

Individual provider Physical Therapy Assistant · NPI 1487255535

Blake A. Ballard, PTA is a Physical Therapy Assistant in Monticello, Mississippi. Works from 5 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

314 Main St Ste C
Monticello, MS 39654-3702
Phone: (601) 587-2563
Fax: (601) 587-0472
Show map & directions

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

Additional practice locations (4)

  • 509 Brookway Blvd, Brookhaven, MS 39601-3266 — (601) 833-7317
  • 101 W Marion Ave, Crystal Springs, MS 39059-2660 — (601) 892-8707
  • 335 E Bay St, Magnolia, MS 39652-2815 — (601) 783-0220
  • 312 Kendall Ave, McComb, MS 39648-2806 — (601) 250-5517

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA6757 (MS)

Record details

NPI number1487255535
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing addressPo Box 457, Monticello, MS 39654-0457

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