Bevan D Blake, PT, DPT
Bevan D Blake, PT, DPT is registered under Physical Therapist in Private Practice in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2007, 19 years ago. Practices with In Motion Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 19
- Trained at
- University of Utah School of Medicine
- Licensed in
- UT
- In the registry since
- 2005
What do these letters mean?
Practice location Address checks out
370 E South Temple #250Salt Lake City, UT 84111-1206 Not confirmed with CMS for 13 years — call before visiting
Phone: (801) 512-2656
Fax: (801) 906-0336
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 344859-2401 (UT) |
|---|
Record details
| NPI number | 1114928868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | No |
| NPI enumerated | August 3, 2005 |
| Last updated in NPPES | October 10, 2012 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | In Motion Physical Therapy Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 2,033 |
| Average patient age | 75 |
Colleagues at In Motion Physical Therapy LLC
- Dr. Kristi E Anguiano, DPT Orthopedic Physical Therapist · Midvale, UT
- Tyler M Hanson, PT, DPT, OCS Physical Therapist · Salt Lake City, UT
- Rachael Neumann, DPT Physical Therapist · Taylorsville, UT
- Dallas C Overly, MPT Physical Therapist · Gunnison, UT
Other providers in Salt Lake City
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Surita Salomie Bieser
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Christopher J Biland
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Devin Black
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MS. Kristen Black, DPT
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Olivia Milise Bogle, PT, DPT
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Lindsay T Bognar, PT, DPT
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