Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Blake Frederick Rose, PT, DPT

Individual provider Physical Therapist · NPI 1265327530

Dr. Blake Frederick Rose, PT, DPT is a Physical Therapist in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2025.

Licensed in
ME
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

900 Hammond St Ste D
Bangor, ME 04401-4378
Phone: (207) 973-6356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7117 (ME)

Record details

NPI number1265327530
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateMay 25, 2025
Mailing address105a Griffin Rd, Levant, ME 04456

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