Blake Edward Lane Berkenbile
Recreational Therapist Assistant in Flower Mound, TX. Individual provider (NPI-1).
NPI number1962372045
StatusActive
Last updated in NPPESNov 5, 2025
Details
- NPI
- 1962372045
- Entity type
- Individual (NPI-1)
- Name
- Blake Edward Lane Berkenbile
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2025
- Certification date
- Nov 5, 2025
- Last updated
- Nov 5, 2025
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 |
|---|---|---|---|---|
| 226000000X | Recreational Therapist Assistant | – | TX | Yes |
Practice location
4961 Long Prairie Rd Ste 110Flower Mound, TX 75028-2794
Phone 800-975-3859
Mailing address
4321 Barnsley DrPlano, TX 75093-3244
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