Individual provider · Type 1 NPI

Charles Blake, PT

Orthopedic Physical Therapist · Columbia, SC

NPI number 1104892637 Active

Practice location

Moncrief Army Health Clinic, 4500 8th Division Drive
Columbia, SC 29207

Other practice locations

  • Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 · (270) 798-8372

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X420820 (TN)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

2 other providers at this address

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About NPI 1104892637

Charles Blake, PT's National Provider Identifier is 1104892637, issued on Feb 24, 2006. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Columbia, SC. The record was last updated on Mar 18, 2025.