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

Timothy E. Blake, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1649602723

Timothy E. Blake, PT, DPT, CSCS is a Physical Therapist in Private Practice in Richmond, Virginia. Qualified in 2013, 13 years ago. Practices with Fox Rehabilitation Services LLC, a 307-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5899 Bremo Rd Ste 100
Richmond, VA 23226-1935
Phone: (804) 285-2645
Fax: (804) 287-2786
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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 2305208076 (VA)

Record details

NPI number1649602723
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedJuly 31, 2013
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address1115 Boulders Pkwy, Suite 200, North Chesterfield, VA 23225-4067

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fox Rehabilitation Services Llc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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