Blake Golden
NPI 1790537306ActiveIndividual· Physical Therapist· Scappoose, OR
Physical Therapist with Ideal Physical Therapy of Texas LLC and 2 other groups, practicing in Scappoose, Oregon. Medicare paid $20,974 for services to 46 patients in 2024.
Overview
| NPI | 1790537306 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 5, 2024 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 65565 | OR |
| Physical Therapist | 225100000X | — | NV |
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 (NV); Practitioner - Physical Therapist in Private Practice (OR); Practitioner - Physical Therapist in Private Practice (SC); Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 893 across 8 procedure codes |
| Paid by Medicare | $20,974 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ideal Physical Therapy of Texas LLCCarrollton, TX · 364 clinicians
- Texas Luna Care Physical Therapy LLCSouthlake, TX · 279 clinicians
- Rsfh - Ati Physical Therapy LLCSummerville, SC · 101 clinicians
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All 18 physical therapists in Scappoose · All physical therapists in Oregon