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

Blake Pepper, PTA

Individual provider Physical Therapy Assistant · NPI 1265067656

Blake Pepper, PTA is a Physical Therapy Assistant in Mountain Home, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

300 Good Samaritan Dr
Mountain Home, AR 72653-5813
Phone: (870) 404-7835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3914 (AR)

Record details

NPI number1265067656
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address300 Good Samaritan Dr, Mountain Home, AR 72653-5813

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