Michael Blake, DPT
Physical Therapist in Midlothian, VA. Individual provider (NPI-1).
NPI number1043948060
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1043948060
- Entity type
- Individual (NPI-1)
- Name
- Michael Blake
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2022
- Certification date
- May 19, 2026
- Last updated
- May 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305215230 | VA | Yes |
Practice location
2925 Polo PkwyMidlothian, VA 23113-1453
Phone 804-794-7587 · Fax 804-794-4560
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
Phone 630-575-6200 · Fax 410-648-4878
Other practice locations
13801 St Francis Blvd Ste 200
Midlothian, VA 23114-3206
Midlothian, VA 23114-3206
Phone 804-320-4064
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All 175 Physical Therapist providers in Midlothian · All 3,080 providers in Midlothian
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