Beverly Blakely, PT
NPI 1417077116 · Physical Therapist · Fayetteville, GA
Beverly Blakely, PT is a Physical Therapist provider in Fayetteville, GA (NPI 1417077116).
Provider details
- NPI number
- 1417077116
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT000628 (GA)
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
19 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
- 2007-03-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Beverly Blakely's NPI number?
- Beverly Blakely's National Provider Identifier (NPI) is 1417077116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Beverly Blakely's specialty?
- Beverly Blakely is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Beverly Blakely located?
- Beverly Blakely's practice location on file with NPPES is 1255 Highway 54 W, Fayetteville, GA 30214-4526.
- What is Beverly Blakely's phone number?
- The practice phone number listed in the NPPES registry for Beverly Blakely is (770) 719-7182.
- Is Beverly Blakely's NPI active?
- Yes — Beverly Blakely's NPI (1417077116) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.