BLAKE CARNEY (PT) – Physical Therapist, NPI 1730673112

BLAKE CARNEY (PT) is a healthcare provider. based in Monroe, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 304714 (CA). The NPI Number for BLAKE CARNEY (PT) is 1730673112

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE CARNEY (PT)
NPI
1730673112
Phone
(360) 794-4892
Address
14711 FRYELANDS BLVD SE STE 153
Enumeration Date
19 June 2018
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8055840001
Graduation Year
2018 (8 years ago)
PAC ID
5496006504
Group Practice PAC ID
3072575836
Professional Enrollment ID
I20231030002340
Address ID
CA930653525SI1922XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for BLAKE CARNEY (PT)

  • Fryelands Boulevard, Woodruff, Monroe, Snohomish County, Washington, 98272-1952, United States

    MONROE, WA 98272

    Phone: (360) 794-4892

    Fax: (360) 794-4679

    Type: Location

  • 1922 ERRINGER RD

    SIMI VALLEY, CA 930653525

    Phone: (805) 584-0001

    Type: Location

  • Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97035, United States

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    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: 2023-10-30

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
I20231030002340IPhysical Therapist In Private PracticeCATBD

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 minutes9623$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8923$0
97530Therapy procedure using functional activities8523$0
97140Therapy procedure using manual technique, each 15 minutes7020$0
View full utilization report →

Insurance plans in this area (ZIP 98272)

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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: 3072575836View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm BLAKE CARNEY (PT)'s NPI?
Yes. BLAKE CARNEY (PT) is listed with NPI 1730673112 in the public NPI dataset.
Does CMS list BLAKE CARNEY (PT) as active?
Yes — BLAKE CARNEY (PT) is active in the NPI listing used on this page.
What is BLAKE CARNEY (PT)'s specialty?
The listing groups BLAKE CARNEY (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does BLAKE CARNEY (PT) serve?
BLAKE CARNEY (PT)'s listing highlights Monroe, Washington; more addresses can appear in NPPES.
Is the information about BLAKE CARNEY (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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