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

Michael Jack Blake, DPT

Individual provider Physical Therapist · NPI 1295560100

Michael Jack Blake, DPT is a Physical Therapist in Private Practice in Castle Rock, Colorado. Qualified in 2024, 2 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
2
Licensed in
CO, MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

390 S Wilcox St Ste B
Castle Rock, CO 80104-1951
Phone: (303) 839-8068
Fax: (303) 835-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7402 Westshire Dr, Lansing, MI 48917-8988 — (517) 853-6800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 20757 (CO)
Physical Therapist Taxonomy 225100000X · Licence 5501303478 (MI)

Record details

NPI number1295560100
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 3, 2024
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address390 S Wilcox St Ste B, Castle Rock, CO 80104-1951

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Castle Rock