Blake Gregory Dean, PT, DPT
NPI 1720650617ActiveIndividual· Physical Therapist· Garner, IA
Physical Therapist (PT, DPT) with Avera St Marys, practicing in Garner, Iowa. Enrolled in Medicare as practitioner - physical therapist in private practice. Lists Avera St Mary's Hospital as a hospital affiliation.
Overview
| NPI | 1720650617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jul 12, 2021 |
| Last updated in NPPES | Jul 12, 2021 |
| Certified by provider | Mar 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 109069 | IA |
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 (SD) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Avera St MarysPierre, SD · 97 clinicians
Hospital affiliation
- Avera St Mary's HospitalPierre, SD
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