Jeffrey Lee Blake (NPI# 1407834781, PAC ID# 8921994211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1407834781 |
PAC ID by PECOS | 8921994211 |
Professional Enrollment ID | I20120313000489 |
Full Name | Jeffrey Lee Blake |
Organization Legal Name | BLAKE PHYSICAL THERAPY PC |
Address |
4820 Lincoln Blvd Marina Del Rey CA 90292-6917 |
Phone Number | 3108220041 |
Gender | M |
Graduation Year | 1991 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 8729974001 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 | 3108220041 | BLAKE PHYSICAL THERAPY PC |
1714 17th St, Santa Monica, CA 90404-4410 | 3103927889 | BLAKE PHYSICAL THERAPY PC |
Organization Legal Name | BLAKE PHYSICAL THERAPY PC |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Madeline Raab | Physical Therapy | Blake Physical Therapy PC | 1714 17th St, Santa Monica, CA 90404-4410 |
Jessica D Sison | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Jaclynn C Eck | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
John Loo Joe | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Margaret Everly Ramirez | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Nicole T Bowlin | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Kylie Nakamine | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Michalea M Ryan | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Regina Mohan | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Claire Delcambre | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Street Address |
4820 LINCOLN BLVD |
City | MARINA DEL REY |
State | CA |
Zip | 90292-6917 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica D Sison | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Jaclynn C Eck | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
John Loo Joe | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Margaret Everly Ramirez | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Nicole T Bowlin | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Kylie Nakamine | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Michalea M Ryan | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Regina Mohan | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Claire Delcambre | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Brynn Condy | Physical Therapy | Blake Physical Therapy PC | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas Ryan Porter | Neurology | Pacific Neuromonitoring Associates Inc | 4215 Glencoe Ave, Unit 305, Marina Del Rey, CA 90292-4628 |
Nita Patel | Dermatology | 4560 Admiralty Wy, Suite 101, Marina Dl Rey, CA 90292-5424 | |
Donald Buschmann | Family Medicine | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
Riquaza Zainul Zavahir | Internal Medicine | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
Jamie A Lipeles | Obstetrics/gynecology | 4560 Admiralty Way, Suite 105, Marina Del Rey, CA 90292-5424 | |
Arielle R Mitton | Internal Medicine | The Regents of The University of California | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
Anh Q Le | Family Medicine | The Regents of The University of California | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
Tom Kuo | Emergency Medicine | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
Kirsten A Wiitala | Family Medicine | The Regents of The University of California | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
Joanna M Skora | Internal Medicine | Uc Regents | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
Find all physicians in zip 90292 |
City | MARINA DEL REY |
Zip Code | 90292 |
Specialty | PHYSICAL THERAPY |
City + Specialty | MARINA DEL REY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jeffrey Lee Blake.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.