NPI age
18 years
Enumerated 2008-01-03
● Active
Type 1 · Individual
MRS. Gina Renee Blake, P.T.
Blake is 1 of 19 physical therapist providers in Flowery Branch and 1 of 7225 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7225 active physical therapist providers in Georgia.
NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-01Enumerated in NPPES
2008
2026
Where they practice
Practice location
4754 Martin Rd, Suite 200
Flowery Branch, GA 305423507
Mailing address
4754 Martin Rd, Suite 200
Flowery Branch, GA 305423507
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11816396 | CAQH |
| 01 (GA) | 20265I4817 | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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