Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bevan D Blake, PT, DPT

Physical Therapist in Salt Lake City, UT · enumerated 2005.

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

National Provider Identifier

1114928868

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Registry record

Entity type Individual (Type 1)

Name Bevan D Blake

Credential PT, DPT

Sex Male

Practice address 370 E South Temple, #250, Salt Lake City, UT, 84111

Phone (801) 512-2656

Fax (801) 906-0336

Enumeration date Aug 3, 2005

Last updated in NPPES Oct 10, 2012

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 344859-2401 (UT) 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
64-00731	Other	UT	UNITED HEALTHCARE
68963	Other	UT	PEHP
870388269BR1	Other	UT	EDUCATORS MUTUAL
CJ9402	Other	UT	RAILROAD MEDICARE
34485924000001	Other	UT	BLUE CROSS BLUE SHIELD
5417	Other	UT	DMBA

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

How do I verify Bevan Blake's NPI record?

Cross-check NPI 1114928868 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1114928868 active?

Yes, as of the latest NPPES snapshot, NPI 1114928868 is active (record last updated 2012-10-10).

Other providers at this practice address

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Tyler Hanson Physical Therapist · Salt Lake City, UT NPI 1922009695 Rose Olds Psychiatric/Mental Health Clinical Nurse Specialist · Salt Lake City, UT NPI 1619927795 Mark Callan General Practice Dentistry · Salt Lake City, UT NPI 1720022783 Esther Rashkin Clinical Social Worker · Salt Lake City, UT NPI 1053415513 Janet Wolf Clinical Social Worker · Salt Lake City, UT NPI 1669543864 Robin Ross Psychiatric/Mental Health Nurse Practitioner · Slc, UT NPI 1285709485 Richard Rizzo Periodontics · Salt Lake City, UT NPI 1407917123 Kris Rosander General Practice Dentistry · Salt Lake City, UT NPI 1558422279

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-10.