John Blake
NPI 1134924475 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oshkosh, WI
John Blake is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Oshkosh, WI (NPI 1134924475).
Provider details
- NPI number
- 1134924475
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0017165 (WI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 0017165 (WI)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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)
- 2323 Lake Club Dr Ste 301Columbus, OH 43232-3198Phone: (614) 456-4999Fax: (896) 268-0664
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is John Blake's NPI number?
- John Blake's National Provider Identifier (NPI) is 1134924475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Blake's specialty?
- John Blake is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is John Blake located?
- John Blake's practice location on file with NPPES is 50 Pearl Ave Ste 102, Oshkosh, WI 54901-4811.
- What is John Blake's phone number?
- The practice phone number listed in the NPPES registry for John Blake is (414) 345-7781.
- Is John Blake's NPI active?
- Yes — John Blake's NPI (1134924475) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.