Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Gina Renee Blake, P.T.

Physical Therapist in Flowery Branch, GA · enumerated 2008 · practices at Back in the Game Physical Therapy, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053596569

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Registry record

Entity type Individual (Type 1)

Name Mrs. Gina Renee Blake

Credential P.T.

Sex Female

Practice address Flowery Branch, GA, 30542

Phone (770) 967-4377

Fax (770) 967-8077

Enumeration date Jan 3, 2008

Last updated in NPPES Dec 12, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 7434 (GA) Primary

PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier	Type	State	Issuer
11816396	Other	GA	CAQH
20265I4817	Other	GA	MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Gina Blake?

Gina Blake is registered in NPPES with the primary taxonomy of Physical Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-12.