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

Blake Edward Butler, PT

Individual provider Physical Therapist · NPI 1558693309

Blake Edward Butler, PT is a Physical Therapist in Private Practice in Bloomington, Minnesota. Qualified in 1998, 28 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (952) 831-8742
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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 6174 (MN)

Record details

NPI number1558693309
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 4, 2010
Last updated in NPPESApril 4, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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