Blake Pepper, PTA
Physical Therapy Assistant in Mountain Home, AR. Individual provider (NPI-1).
NPI number1265067656
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1265067656
- Entity type
- Individual (NPI-1)
- Name
- Blake Pepper
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2020
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 3914 | AR | Yes |
Practice location
300 Good Samaritan DrMountain Home, AR 72653-5813
Phone 870-404-7835
Mailing address
300 Good Samaritan DrMountain Home, AR 72653-5813
Phone 870-404-7835
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Mountain Home, AR
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- Sydney Elizabeth ColbertNPI 1679252910
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- Amber Nicole ElumbaughNPI 1972720308
- Maranda HickmanNPI 1619513934
- Maria Jestice, PTANPI 1407583305
All 33 Physical Therapy Assistant providers in Mountain Home · All 1,273 providers in Mountain Home
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