Brendon Blake, P.T.
NPI 1508804428ActiveIndividual· Physical Therapist· Flowery Branch, GA
Physical Therapist (P.T.) with Back in the Game Physical Therapy, Inc, practicing in Flowery Branch, Georgia. Medicare paid $21,458 for services to 90 patients in 2024.
Overview
| NPI | 1508804428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Jun 3, 2006 |
| Last updated in NPPES | Dec 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 7433 | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 1,101 across 11 procedure codes |
| Paid by Medicare | $21,458 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Back in the Game Physical Therapy, IncGainesville, GA · 19 clinicians
Other physical therapists in Flowery Branch
- 1184469363
- 1306599204
- 1376036434
- 1437642469
- 1538547377
- 1558741207
- 1659045326
- 1821449620
- 1841238847
- 1871370445
- 1972755957
- 1033061643
All 22 physical therapists in Flowery Branch · All physical therapists in Georgia