Blake William Siersema, PT, DPT
Physical Therapist · Simpsonville, SC
Blake William Siersema, PT, DPT is a physical therapist with a practice address in Simpsonville, South Carolina, and NPI 1588361992, issued on Feb 15, 2023. Check the license (South Carolina 11728, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Blake William Siersema
- Credential
- PT, DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 11728 SC
Self-reported in NPPES; status is on the state search - Practice location
- 719 SE Main St Ste B, Simpsonville, SC 29681
- Phone
- (864) 233-5128
- Enumerated
- Feb 15, 2023
- Record last updated
- Feb 15, 2023
- Medicare enrollment
- Enrolled (PECOS I20230418002348); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 719 SE Main St Ste B
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elizabeth Bannio, PT, DPTPhysical Therapist1376910042
- Clayton BoothePhysical Therapist1952683054
Verify Blake William Siersema in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 11728Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Elite Integrated Therapy Centers LLCGreenville, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
115 physical therapist records list a practice address in Simpsonville
They are 115 of the 1,142 NPPES records with a practice address in Simpsonville, and 3,905 physical therapist records in South Carolina.
All 115 in Simpsonville → All 3,905 in South Carolina → Every provider in Simpsonville →
Other physical therapist records in South Carolina
- George Aaron, PTHollywood, SC1891865051
- Erica Abbott, RPTLancaster, SC1902866221
- James Abbott, RPTLancaster, SC1669432993
- Ahmed Abdel-Adl, DPTTaylors, SC1669623807
- Mary Abel, PTPawleys Island, SC1649414434
- Katelyn AbernathyCharleston, SC1124802491
- Lucas Abney, DPTLexington, SC1619219334
- Georganne Abrahamson, PT, DPTCharleston, SC1649105826
- Hetal Acharekar, PTAiken, SC1104251883
- Eric Acoba, PTBeaufort, SC1962485672
Common questions
What is Blake William Siersema, PT, DPT's NPI number?
Blake William Siersema, PT, DPT's National Provider Identifier (NPI) is 1588361992, issued on Feb 15, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Blake William Siersema, PT, DPT located?
The NPPES record lists a practice address at 719 SE Main St Ste B, Simpsonville, SC, 29681. Phone: (864) 233-5128. Providers update this record themselves, so call before visiting.
How can I verify Blake William Siersema, PT, DPT's license?
NPPES lists South Carolina license number 11728, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.