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

Blake Landry Queen, PT

Individual provider Physical Therapist · NPI 1477920684

Blake Landry Queen, PT is a Physical Therapist in Private Practice in Cullowhee, North Carolina. Qualified in 2014, 12 years ago. Practices with Smoky Mountain Sports Medicine and Physical Therapy, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
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

594 Centennial Dr
Cullowhee, NC 28723-1589
Phone: (828) 550-3923
Fax: (828) 354-0209
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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 P14915 (NC)

Record details

NPI number1477920684
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 24, 2015
Last updated in NPPESOctober 14, 2023
Certification dateOctober 14, 2023
Mailing address90 E Main St Ste A, Sylva, NC 28779-3030

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Smoky Mountain Sports Medicine And Physical Therapy, Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cullowhee