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

Mrs. Blakelee Ann Moore

Individual provider Physical Therapist · NPI 1215322946

Mrs. Blakelee Ann Moore is a Physical Therapist in Private Practice in Lake Charles, Louisiana. Qualified in 2012, 14 years ago. Practices with Therapy Center of Jefferson Davis Parish, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2015
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Practice location Address checks out

4150 Nelson Rd Ste C12
Lake Charles, LA 70605-4148
Phone: (337) 990-5621
Fax: (888) 574-7253
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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 08305 (LA)

Record details

NPI number1215322946
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015

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 Therapy Center Of Jefferson Davis Parish, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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