Doctor profile · Federal record
Dr. Bevan Blake, PT, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Salt Lake City, UT
- NPI 1114928868
- Accepts Medicare
- 19 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
370 E South Temple, #250
Salt Lake City, UT 841111206
(801) 512-2656
fax (801) 906-0336
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- October 10, 2012
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Utah #344859-2401
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114928868. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,804
Distinct HCPCS
6
Medicare allowed
$44,581
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 617 | 34 | $21 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 533 | 35 | $30 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 347 | 30 | $20 | |
97116 |
Therapy procedure for walking training, each 15 minutes | 256 | 26 | $21 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 29 | 20 | $54 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 22 | 19 | $96 |
In context: peer comparison
Among 44 peers in Salt Lake City Physical Therapist, average services per provider: 313. This provider delivers 5.8× the peer median.Frequently asked questions
What is Dr. Bevan Blake's medical specialty?
Dr. Bevan Blake practices Physical Therapist in Salt Lake City, UT.
Where does Dr. Bevan Blake practice?
Dr. Bevan Blake practices at 370 E South Temple, Salt Lake City, UT 841111206. Office phone: 8015122656.
What is Dr. Bevan Blake's NPI?
Dr. Bevan Blake's National Provider Identifier (NPI) is 1114928868, issued by NPPES.
Does Dr. Bevan Blake accept Medicare assignment?
Yes. Dr. Bevan Blake accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Bevan Blake commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.