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

Michael Blake

Individual provider Physical Therapist · NPI 1609740497

Michael Blake is a Physical Therapist in Private Practice in Holden, Massachusetts. Qualified in 2025, 1 year ago. Practices with Proex Physical Therapy LLC, a 166-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025

Practice location Address checks out

1103 Main St
Holden, MA 01520-1219
Phone: (508) 829-3900
Fax: (508) 829-3777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MA)

Record details

NPI number1609740497
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address576 Broadhollow Rd, Melville, NY 11747-5012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Proex Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holden