Emily Blake
Developmental Therapist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1750150801
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1750150801
- Entity type
- Individual (NPI-1)
- Name
- Emily Blake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2023
- Certification date
- Dec 29, 2023
- Last updated
- Dec 29, 2023
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 |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
2626 Saint Joe Center RdFort Wayne, IN 46825-5042
Phone 260-497-0328
Mailing address
2626 Saint Joe Center RdFort Wayne, IN 46825-5042
Phone 260-497-0328
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.
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All 175 Developmental Therapist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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