Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093638975 Individual Practitioner Male Practitioner

Dr. Blake Whitaker , DPT

Physical Therapist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Dr. Blake Whitaker, DPT is a registered healthcare professional specializing in Physical Therapist in Coon Rapids, MN. Practice services are available at 2104 NORTHDALE BLVD NW STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2104 Northdale Blvd Nw Ste 100

Coon Rapids, MN 554333045

Telephone 7637555495
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Coon Rapids, MN (5551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MN 14375

Physical 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 to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Jeffrey Carlson , M ED, ATC

Specialist/Technologist - Athletic Trainer

NPI 1003987132

Master of Education, Certified Athletic Trainer

Lance Zarimba , OT

Occupational Therapist

NPI 1124158753

Occupational Therapist

Alyssa Taylor

Specialist/Technologist - Athletic Trainer

NPI 1205334190
NPI 1245060128

Doctor of Physical Therapy

Benjamin Britton , PT

Physical Therapist

NPI 1376029751

Physical Therapist

Joshua Dames

Clinic/Center - Physical Therapy

NPI 1396511770

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 30, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2026

Registered at 2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 554333045 (Tel: 7637555495)

📍
Updated Business Mailing Address July 30, 2026

Registered at 2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 554333045

👤
Provider Name / Credentials Updated July 30, 2026

Recorded as BLAKE WHITAKER, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2026

Physical Therapist (License #14375 in MN)

🟢
Initial NPI Registration & Enumeration July 30, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093638975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2026
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

2104 Northdale Blvd Nw Ste 100

Coon Rapids, MN 554333045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.