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

Blake Koeval

Individual provider Physical Therapist · NPI 1275413593

Blake Koeval is a Physical Therapist in Private Practice in Sparta, North Carolina. Qualified in 2025, 1 year ago. Practices with Schuster Physical Therapy Inc, an 18-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025

Practice location Address checks out

1433 US Highway 21 S
Sparta, NC 28675-8641
Phone: (336) 846-7227
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24419 (NC)

Record details

NPI number1275413593
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address1433 Us Highway 21 S, Sparta, NC 28675-8641

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Schuster Physical Therapy Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sparta