Bevan D. Blake, PT, DPT
NPI 1114928868ActiveIndividual· Physical Therapist· Salt Lake City, UT
Physical Therapist (PT, DPT) in Salt Lake City, Utah, trained at University of Utah School of Medicine (class of 2007). Medicare paid $36,160 for services to 40 patients in 2024.
Overview
| NPI | 1114928868 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 3, 2005 |
| Last updated in NPPES | Oct 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 344859-2401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 2,033 across 7 procedure codes |
| Paid by Medicare | $36,160 |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- In Motion Physical Therapy LLCSalt Lake City, UT · 5 clinicians
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