BLAKE ANDERS – Physical Therapist, NPI 1649989294

BLAKE ANDERS is a healthcare provider. based in Cedar lake, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 05014886A (IN). The NPI Number for BLAKE ANDERS is 1649989294

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE ANDERS
NPI
1649989294
Phone
(219) 801-7777
Address
12636 Wicker Ave
Enumeration Date
22 November 2022
Last Update Date
14 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2022 (4 years ago)
PAC ID
4082083407
Group Practice PAC ID
1456740323
Professional Enrollment ID
I20260212002210
Address ID
TN372091577NA5016XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for BLAKE ANDERS

  • 12636 Wicker Ave

    Cedar Lake, IN 46303

    Phone: (219) 801-7777

    Fax: (219) 801-7677

    Type: Location

  • 2050 45th St

    Highland, IN 463222388

    Phone: (219) 801-7777

    Fax: (219) 801-7677

    Type: Location

  • 1841 E SUMMIT ST

    CROWN POINT, IN 463072768

    Phone: (219) 801-7777

    Fax: (219) 801-7677

    Type: Mailing

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: 2026-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221207000965IPhysical Therapist In Private PracticeINTBD
I20260212002210IPhysical Therapist In Private PracticeTNTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,26853$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes92753$0
97140Therapy procedure using manual technique, each 15 minutes66850$0
97530Therapy procedure using functional activities23325$0
97162Evaluation for physical therapy, typically 30 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 46303)

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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: 1456740323View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for BLAKE ANDERS?
BLAKE ANDERS — NPI 1649989294 — is the standard way to identify this listing.
Does CMS list BLAKE ANDERS as active?
Yes — BLAKE ANDERS is active in the NPI listing used on this page.
What taxonomy line describes BLAKE ANDERS?
For research purposes, treat BLAKE ANDERS as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is BLAKE ANDERS based?
BLAKE ANDERS is tied to Cedar Lake, Indiana in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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