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

Mr. Ian David Blake, PT

Individual provider Physical Therapist · NPI 1124094479

Mr. Ian David Blake, PT is a Physical Therapist in Private Practice in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Tulsa PT Consultants, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
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 Address checks out

6767 S Yale Ave Ste B
Tulsa, OK 74136-3302
Phone: (918) 494-3000
Fax: (918) 494-0003
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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 PT3742 (OK)

Record details

NPI number1124094479
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJune 14, 2010
Mailing address6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tulsa Pt Consultants, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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