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

Logan Chandler Blake, PT, DPT

Individual provider Physical Therapist · NPI 1326786187

Logan Chandler Blake, PT, DPT is a Physical Therapist in Private Practice in Decatur, Alabama. Qualified in 2022, 4 years ago. Practices with Refine PT and Performance - North Alabama LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2022
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

1111 Knight St SE
Decatur, AL 35601-6501
Phone: (256) 973-1552
Fax: (256) 973-1553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 S Florida St, Mobile, AL 36606-1927 — (251) 501-2700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTH10812 (AL)

Record details

NPI number1326786187
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Refine Pt And Performance - North Alabama Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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