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

Cory Blake

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1790515898

Cory Blake is a Physical Therapist in Private Practice in Davidson, North Carolina. Qualified in 2024, 2 years ago. Practices with Saylor Physical Therapy Cornelius LLC, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024

Practice location Address checks out

460 S Main St
Davidson, NC 28036-8006
Phone: (704) 255-6383
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence P23407 (NC)

Record details

NPI number1790515898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateJuly 29, 2024
Mailing address460 S Main St # 302, Davidson, NC 28036-8006

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Saylor Physical Therapy Cornelius Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Davidson