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

Blake Whitaker, DPT

Individual provider Physical Therapist · NPI 1093638975

Blake Whitaker, DPT is a Physical Therapist in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045
Phone: (763) 755-5495
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14375 (MN)

Record details

NPI number1093638975
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 27, 2026
Mailing address2104 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55433-3045

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