NPI age
18 years
Enumerated 2007-06-27
● Active
Type 1 · Individual
Jerry W Blakely II, PT
Blakely is 1 of 7 physical therapist providers in Coeur D Alene and 1 of 83 in Idaho.
Primary specialty
Physical Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 83 active physical therapist providers in Idaho.
NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
2200 Ironwood Pl
Coeur D Alene, ID 838142610
Mailing address
2200 Ironwood Pl
Coeur D Alene, ID 838142610
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology,...
Practice context
Part of a multi-provider practice. 34 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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