MR. BLAKE CHARLES MANN (PT, DPT) – Physical Therapist, NPI 1104493089

MR. BLAKE CHARLES MANN (PT, DPT) is a healthcare provider. based in Milton, Delaware. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. J1-0014376 (DE). The NPI Number for MR. BLAKE CHARLES MANN (PT, DPT) is 1104493089

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. BLAKE CHARLES MANN (PT, DPT)
NPI
1104493089
Phone
(302) 500-2294
Address
114 S SPINNAKER LN
Enumeration Date
8 June 2021
Last Update Date
8 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5408102490
Graduation Year
2021 (5 years ago)
PAC ID
7810397635
Group Practice PAC ID
3476915216
Professional Enrollment ID
I20240925004160
Address ID
VA228018050HA381XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

678 PHYSICAL THERAPIST IN PRIVATE PRACTICE in DE

Provider Addresses for MR. BLAKE CHARLES MANN (PT, DPT)

  • 114 S SPINNAKER LN

    MILTON, DE 199681538

    Phone: (302) 500-2294

    Type: Mailing

  • 1255 S STATE ST STE 7

    DOVER, DE 199016932

    Phone: (302) 734-0100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240925004160IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes87658$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes78561$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes71951$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care58646$0
97530Therapy procedure using functional activities44252$0
View full utilization report →

Insurance plans in this area (ZIP 19968)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476915216View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. BLAKE CHARLES MANN (PT, DPT)?
NPI 1104493089 is assigned to MR. BLAKE CHARLES MANN (PT, DPT) under the national enumeration system.
Is MR. BLAKE CHARLES MANN (PT, DPT) active in the national directory?
MR. BLAKE CHARLES MANN (PT, DPT)'s public NPI profile is in an active state.
What field does MR. BLAKE CHARLES MANN (PT, DPT) work in?
You can think of MR. BLAKE CHARLES MANN (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MR. BLAKE CHARLES MANN (PT, DPT)?
We surface Milton, Delaware for MR. BLAKE CHARLES MANN (PT, DPT) based on available NPPES addresses.
Is MR. BLAKE CHARLES MANN (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1104493089. Always confirm identity and privileges with the practice and licensing boards.

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