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

Mrs. Blake Phillips Russell, MPT

Individual provider Physical Therapist · NPI 1316472616

Mrs. Blake Phillips Russell, MPT is a Physical Therapist in Pacific Grove, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

220 Country Club Gate Ctr Ste 11
Pacific Grove, CA 93950-5014
Phone: (831) 917-9886
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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 29705 (CA)

Record details

NPI number1316472616
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESApril 24, 2017

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