Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Graham

Individual provider Physical Therapist · NPI 1376273557

Blake Graham is a Physical Therapist in Private Practice in Edmond, Oklahoma. Qualified in 2022, 4 years ago. Practices with Function Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16502 N Pennsylvania Ave Ste C
Edmond, OK 73012-9126
Phone: (405) 285-9659
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 6164 (OK)

Record details

NPI number1376273557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2022
Last updated in NPPESJune 12, 2022
Certification dateJune 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Function Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edmond