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

Mr. Blake Litton Fletcher, DPT

Individual provider Physical Therapist · NPI 1205273620

Mr. Blake Litton Fletcher, DPT is a Physical Therapist in Private Practice in Irmo, South Carolina. Qualified in 2012, 14 years ago. Practices with Carolina Physical Therapy and Sports Medicine Limited Partnership, a 37-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2013
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

10071 Broad River Rd Ste B
Irmo, SC 29063-2381
Phone: (803) 445-1069
Fax: (803) 445-1097
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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 6960 (SC)

Record details

NPI number1205273620
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 24, 2013
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carolina Physical Therapy And Sports Medicine Limited Partnership — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Irmo