Jodie Blake, PT
NPI 1154644136 · Physical Therapist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jodie Blake, PT is a Physical Therapist provider in Grand Rapids, MI (NPI 1154644136).
Provider details
- NPI number
- 1154644136
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 5501011217 (MI)
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
16 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
Mailing address
Registry dates
- Enumerated
- 2010-03-05
- Last updated
- 2010-08-03
Frequently asked questions
- What is Jodie Blake's NPI number?
- Jodie Blake's National Provider Identifier (NPI) is 1154644136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jodie Blake's specialty?
- Jodie Blake is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jodie Blake located?
- Jodie Blake's practice location on file with NPPES is 4069 Lake Dr Se, Grand Rapids, MI 49546-8816.
- What is Jodie Blake's phone number?
- The practice phone number listed in the NPPES registry for Jodie Blake is (616) 726-8365.
- Does Jodie Blake accept Medicare?
- Jodie Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jodie Blake's NPI active?
- Yes — Jodie Blake's NPI (1154644136) is active in the NPPES registry as of the last update on 2010-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.