Provider Demographics
NPI:1588646152
Name:BLAKE & ASSOCIATES INC
Entity Type:Organization
Organization Name:BLAKE & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:SHEILA
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-661-6555
Mailing Address - Street 1:5754 BRIDGETOWN RD
Mailing Address - Street 2:STE B2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-3100
Mailing Address - Country:US
Mailing Address - Phone:513-661-6555
Mailing Address - Fax:513-661-6556
Practice Address - Street 1:5754 BRIDGETOWN RD
Practice Address - Street 2:STE B2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-3100
Practice Address - Country:US
Practice Address - Phone:513-661-6555
Practice Address - Fax:513-661-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000009629OtherANTHEM
OH000000009629OtherANTHEM