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

Blake Blundred, DPT

Individual provider Physical Therapist · NPI 1184514879

Blake Blundred, DPT is a Physical Therapist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8651 John T White Rd Ste 121
Fort Worth, TX 76120-2766
Phone: (817) 542-0714
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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 1406802 (TX)

Record details

NPI number1184514879
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 6, 2025
Mailing address3914 Escoba Dr, Grand Prairie, TX 75052-6826

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