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

Mrs. Nicole Marie Blake, DPT

Individual provider Physical Therapist · NPI 1750676904

Mrs. Nicole Marie Blake, DPT is a Physical Therapist in Private Practice in Baltimore, Maryland. Qualified in 2011, 15 years ago. Licensed in Maryland.

Years since qualifying
15
Licensed in
MD
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4924 Campbell Blvd
Baltimore, MD 21236-5908
Phone: (443) 442-2050
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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 23660 (MD)

Record details

NPI number1750676904
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESFebruary 14, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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