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

Blake James Austin Williams, DPT

Individual provider Physical Therapist · NPI 1730919648

Blake James Austin Williams, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2024, 2 years ago. Practices with Asis Physical Therapy Inc, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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

11848 Bernardo Plaza Ct Ste 100
San Diego, CA 92128-2417
Phone: (858) 217-2496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1828 Garnet Ave, San Diego, CA 92109-3352 — (858) 217-2496

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306495 (CA)

Record details

NPI number1730919648
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Asis Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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