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

Jodie Megan Blake, PT

Individual provider Physical Therapist · NPI 1154644136

Jodie Megan Blake, PT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4069 Lake Dr SE Ste 114
Grand Rapids, MI 49546-8816
Phone: (616) 726-8365
Fax: (616) 726-8364
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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 5501011217 (MI)

Record details

NPI number1154644136
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 5, 2010
Last updated in NPPESAugust 3, 2010

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