MRS. GINA RENEE BLAKE (P.T.) – Physical Therapist, NPI 1053596569

MRS. GINA RENEE BLAKE (P.T.) is a healthcare provider. based in Flowery branch, Georgia. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 7434 (GA). The NPI Number for MRS. GINA RENEE BLAKE (P.T.) is 1053596569

Main info

Female
Sole Proprietor
Name
MRS. GINA RENEE BLAKE (P.T.)
NPI
1053596569
Phone
(770) 967-4377
Address
4754 MARTIN RD
Enumeration Date
3 January 2008
Last Update Date
12 December 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. GINA RENEE BLAKE (P.T.)

  • 4754, Martin Road, Oakwood, Hall County, Georgia, 30542, United States

    SUITE 200

    FLOWERY BRANCH, GA 305423507

    Phone: (770) 967-4377

    Fax: (770) 967-8077

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30542)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. GINA RENEE BLAKE (P.T.)?
MRS. GINA RENEE BLAKE (P.T.) — NPI 1053596569 — is the standard way to identify this listing.
Does the file indicate MRS. GINA RENEE BLAKE (P.T.) is practicing under active NPI?
Directory data currently reports MRS. GINA RENEE BLAKE (P.T.) as active.
What is MRS. GINA RENEE BLAKE (P.T.)'s primary classification?
Physical Therapist is the headline specialty for MRS. GINA RENEE BLAKE (P.T.) here. Clinical services aligned with this taxonomy classification.
Does MRS. GINA RENEE BLAKE (P.T.) list a practice location?
Patients near Flowery Branch, Georgia may find MRS. GINA RENEE BLAKE (P.T.) in results; validate coverage separately.
Why does MRS. GINA RENEE BLAKE (P.T.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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