Charles Blake, PT
NPI 1104892637 · Orthopedic Physical Therapist · Columbia, SC
Charles Blake, PT is a Orthopedic Physical Therapist provider in Columbia, SC (NPI 1104892637).
Provider details
- NPI number
- 1104892637
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 420820 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- Blanchfield Army Community Hospital650 Joel DriveFort Campbell, KY 42223-5349Phone: (270) 798-8372Fax: (270) 956-0180
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2025-03-18
- Certified
- 2025-03-14
Frequently asked questions
- What is Charles Blake's NPI number?
- Charles Blake's National Provider Identifier (NPI) is 1104892637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Blake's specialty?
- Charles Blake is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Charles Blake located?
- Charles Blake's practice location on file with NPPES is Moncrief Army Health Clinic, Columbia, SC 29207.
- What is Charles Blake's phone number?
- The practice phone number listed in the NPPES registry for Charles Blake is (803) 751-7183.
- Is Charles Blake's NPI active?
- Yes — Charles Blake's NPI (1104892637) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.