Blake Dickenson, DO
NPI 1932799160 · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
Enrolled with Medicare as Order and Referring Only - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Dickenson, DO is a Physical Medicine & Rehabilitation Physician provider in Salt Lake City, UT (NPI 1932799160).
Provider details
- NPI number
- 1932799160
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 14172601-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
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)
- Western University of Health Sciences Comp-Northwest200 Mullins DriveLebanon, OR 97355Phone: (541) 259-0235
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Blake Dickenson's NPI number?
- Blake Dickenson's National Provider Identifier (NPI) is 1932799160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Dickenson's specialty?
- Blake Dickenson is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Blake Dickenson located?
- Blake Dickenson's practice location on file with NPPES is 85 N Medical Dr, Salt Lake City, UT 84112-1100.
- What is Blake Dickenson's phone number?
- The practice phone number listed in the NPPES registry for Blake Dickenson is (801) 581-2121.
- Does Blake Dickenson accept Medicare?
- Blake Dickenson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Dickenson's NPI active?
- Yes — Blake Dickenson's NPI (1932799160) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.