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

Dakota Storm Blake, PTA

Individual provider Physical Therapy Assistant · NPI 1417594748

Dakota Storm Blake, PTA is a Physical Therapy Assistant in Fort Edward, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

319 Broadway
Fort Edward, NY 12828-1221
Phone: (518) 746-0700
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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 012276-01 (NY)

Record details

NPI number1417594748
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 5, 2019
Last updated in NPPESDecember 5, 2019

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