Bevan Blake, PT, DPT
NPI 1114928868 · Physical Therapist · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bevan Blake, PT, DPT is a Physical Therapist provider in Salt Lake City, UT (NPI 1114928868).
Provider details
- NPI number
- 1114928868
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 344859-2401 (UT)
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 tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,022 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 758 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 580 | $29 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 350 | $20 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 295 | $19 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 21 | $92 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 18 | $22 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-03
- Last updated
- 2012-10-10
Frequently asked questions
- What is Bevan Blake's NPI number?
- Bevan Blake's National Provider Identifier (NPI) is 1114928868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bevan Blake's specialty?
- Bevan Blake is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bevan Blake located?
- Bevan Blake's practice location on file with NPPES is 370 E South Temple, Salt Lake City, UT 84111-1206.
- What is Bevan Blake's phone number?
- The practice phone number listed in the NPPES registry for Bevan Blake is (801) 512-2656.
- Does Bevan Blake accept Medicare?
- Bevan Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bevan Blake's NPI active?
- Yes — Bevan Blake's NPI (1114928868) is active in the NPPES registry as of the last update on 2012-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.