BLAKE EVAN BARLOW (NPI# 1285941922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285941922 |
| Entity Type | Individual |
| Full Name | BLAKE EVAN BARLOW |
| Credential | CP.LPO.FAAOP |
| Practice Address |
7510 Broadway Ext Ste 204 Oklahoma City OK 73116-9031 |
| Practice Telephone | 4058428505 |
| Practice Fax Number | 4058428805 |
| Mailing Telephone | 4058428505 |
| Mailing Fax Number | 4058428805 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 42 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 42 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7510 BROADWAY EXT STE 204 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-9031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299376 | Lindsay Ann Lafuente | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2019-11-14 |
| 1467932731 | Nicholas Brown | Prosthetist | 225 Nw 9th St, Oklahoma City, OK 73102-2619 | 2018-08-16 |
| 1952644007 | Andy John Anders | Prosthetist | 937 Sw 89th St Ste B, Oklahoma City, OK 73139-9231 | 2013-03-27 |
| 1962022822 | Innovative Prothestics and Research, LLC | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2020-04-21 |
| 1356835052 | Alexander Ashoff | Prosthetist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2018-06-18 |
| 1396234589 | Martin Bionics Clinical Care, LLC | Prosthetist | 214 E Main St, Oklahoma City, OK 73104-4221 | 2018-05-03 |
| 1619400876 | Christopher Prestridge | Prosthetist | 229 Nw 9th St, Oklahoma City, OK 73102-2619 | 2017-04-05 |
| 1104181817 | Michael Lloyd Martin | Prosthetist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2012-07-09 |
| 1720225477 | Charles A Anderson | Prosthetist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2009-01-16 |
| 1780837211 | Melissa Baker | Prosthetist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-10-28 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.