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

Mr. Charles Blake, PT

Individual provider Orthopedic Physical Therapist · NPI 1104892637

Mr. Charles Blake, PT is an Orthopedic Physical Therapist in Columbia, South Carolina. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Partly verified

Some contact details are missing from the federal record.

Moncrief Army Health Clinic 4500 8th Division Dr
Columbia, SC 29207
Phone: (803) 751-7183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 — (270) 798-8372

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 420820 (TN)

Record details

NPI number1104892637
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESMarch 18, 2025
Certification dateMarch 14, 2025

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