IndividualActive
Gina Blake, P.T.
NPI 1053596569 · Physical Therapist · Flowery Branch, GA
Provider details
- NPI number
- 1053596569
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7434 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4754 Martin Rd
Suite 200
Flowery Branch, GA 30542-3507
Phone: (770) 967-4377
Fax: (770) 967-8077
Street-level locationGet directions
Mailing address
4754 Martin Rd
Flowery Branch, GA 30542-3507
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2011-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.