Blake Harrison Hines, ATC, NASM-PES, MA
NPI 1821486218ActiveIndividual· Specialist/Technologist, Athletic Trainer· Brandon, MS
Specialist/Technologist, Athletic Trainer (ATC, NASM-PES, MA) in Brandon, Mississippi, licensed in MS, with an NPI issued in January 2015.
Overview
| NPI | 1821486218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATC, NASM-PES, MA |
| Sole proprietor | Yes |
| NPI issued | Jan 7, 2015 |
| Last updated in NPPES | Jan 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | AT0524 | MS |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Brandon
- 1639608136
- 1790214450
- 1730411398
- 1518367358