Blake Ballard, PTA
NPI 1487255535 · Physical Therapy Assistant · Monticello, MS
Blake Ballard, PTA is a Physical Therapy Assistant provider in Monticello, MS (NPI 1487255535).
Provider details
- NPI number
- 1487255535
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA6757 (MS)
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 509 Brookway BlvdBrookhaven, MS 39601-3266Phone: (601) 833-7317
- 101 W Marion AveCrystal Springs, MS 39059-2660Phone: (601) 892-8707
- 335 E Bay StMagnolia, MS 39652-2815Phone: (601) 783-0220
- 312 Kendall AveMccomb, MS 39648-2806Phone: (601) 250-5517
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Frequently asked questions
- What is Blake Ballard's NPI number?
- Blake Ballard's National Provider Identifier (NPI) is 1487255535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Ballard's specialty?
- Blake Ballard is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Blake Ballard located?
- Blake Ballard's practice location on file with NPPES is 314 Main St Ste C, Monticello, MS 39654-3702.
- What is Blake Ballard's phone number?
- The practice phone number listed in the NPPES registry for Blake Ballard is (601) 587-2563.
- Is Blake Ballard's NPI active?
- Yes — Blake Ballard's NPI (1487255535) is active in the NPPES registry as of the last update on 2020-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.