Shirley Blake, PT - Physical Therapist in Bangor, ME

Shirley Blake, PT is a Physical Therapist based in Bangor, Maine. Shirley Blake is licensed to practice in Maine (license number PT44) and her current practice location is 133 Corporate Dr, Suite 2, Bangor, Maine. She can be reached at her office (for appointments etc.) via phone at (207) 992-9286.

NPI number for Shirley Blake is 1326057753 and her current mailing address is Po Box 921, Bangor, Maine. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326057753.

Contact Information

Shirley Blake, PT
133 Corporate Dr, Suite 2,
Bangor, ME 04401-4312
(207) 992-9286
(207) 992-9287



Healthcare Provider's Profile

Full NameShirley Blake
GenderFemale
SpecialityPhysical Therapist
Location133 Corporate Dr, Bangor, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326057753
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Shirley Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326057753NPI-NPPES
2294802OtherMEAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT44 (Maine)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirley Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shirley Blake, PT
Po Box 921,
Bangor, ME 04402-0921

Ph: (207) 992-2070
Shirley Blake, PT
133 Corporate Dr, Suite 2,
Bangor, ME 04401-4312

Ph: (207) 992-9286

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› Verified 4 days ago


Physical Therapist in Bangor, ME

Dr. Ian William Bauersfeld, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 277 State St Ste 1b, Bangor, ME 04401
Phone: 207-922-4000    
Susan Austin,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 133 Corporate Dr, Suite 2, Bangor, ME 04401
Phone: 207-992-9286    Fax: 207-992-9287
Dr. Richard Adam Sukiennik, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 758 Broadway, Bangor, ME 04401
Phone: 207-941-8400    Fax: 207-990-1745
Pine Tree Physical Therapy, Inc.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 760 Union St, Bangor, ME 04401
Phone: 207-942-2266    Fax: 207-942-7577
Mrs. Anne J Knowles, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 16 Penn Plz Ste 22, Bangor, ME 04401
Phone: 207-947-8077    Fax: 207-947-3721
Ms. Elissa Madore, MPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 82 Sylvan Rd, Bangor, ME 04401
Phone: 207-401-4324    Fax: 207-401-4325
Mr. Delany B Wilkes, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12 Stillwater Ave, Bangor, ME 04401
Phone: 207-945-2946    

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