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

Mr. Jeffrey Lee Blake, PT

Individual provider Physical Therapist · NPI 1407834781

Mr. Jeffrey Lee Blake, PT is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 1991, 35 years ago. Practices with Blake Physical Therapy PC, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Licensed in
CA
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

1714 17th St
Santa Monica, CA 90404-4410
Phone: (310) 392-7889
Fax: (310) 314-4431
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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 PT17676 (CA)

Record details

NPI number1407834781
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESNovember 9, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Blake Physical Therapy Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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