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

Maxwell Blake

Individual provider Physical Therapist · NPI 1023597382

Maxwell Blake is a Physical Therapist in Private Practice in Arlington, Virginia. Graduated from University of Vermont College of Medicine in 2018, 8 years ago. Practices with Professional Sportscare and Rehab LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Trained at
University of Vermont College of Medicine
Licensed in
VA
In the registry since
2018
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Practice location Address checks out

1600 Wilson Blvd Ste 102
Arlington, VA 22209-2505
Phone: (703) 935-1996
Fax: (703) 935-1995
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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 2305212147 (VA)

Record details

NPI number1023597382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 8, 2018
Mailing address350 New Fidelity Ct, Garner, NC 27529-2665

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Professional Sportscare And Rehab Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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