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

Blake Owen, PT

Individual provider Orthopedic Physical Therapist · NPI 1255217600

Blake Owen, PT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2025, 1 year ago. Practices with Kjb Consulting Corporation, an 18-clinician group and accepts Medicare assignment. Licensed in Oregon.

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

2330 NW Flanders St Ste G1
Portland, OR 97210-3441
Phone: (503) 223-1856
Fax: (503) 223-1765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 65834 (OR)

Record details

NPI number1255217600
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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 Kjb Consulting Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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