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

Cory Blake

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1790515898

Cory Blake is a Physical Therapist in Private Practice in Davidson, North Carolina. Qualified in 2024, 2 years ago. Practices with Saylor Physical Therapy Cornelius LLC, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024

Practice location Address checks out

460 S Main St
Davidson, NC 28036-8006
Phone: (704) 255-6383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence P23407 (NC)

Record details

NPI number1790515898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Saylor Physical Therapy Cornelius Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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