Dereni Blake Brock, PT
Physical Therapist · London, KY
Dereni Blake Brock, PT is a physical therapist with a practice address in London, Kentucky, and NPI 1114358702, issued on Dec 6, 2013. Check the license (Kentucky 006310, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dereni Blake Brock
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 006310 KY
Self-reported in NPPES; status is on the state search - Practice location
- 195 Commercial Dr, London, KY 40744
- Phone
- (606) 657-2354
- Enumerated
- Dec 6, 2013
- Record last updated
- Oct 28, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (606) 657-2354
- Medicare enrollment
- Enrolled (PECOS I20190605000851); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 2013
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 3,233 in Kentucky → Look up another NPI →
Verify Dereni Blake Brock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license 006310Check 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
- Revolution Physical TherapyLondon, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dereni Blake Brock among 3,233 physical therapist records in Kentucky
Dereni Blake Brock, PT is one of 3,233 physical therapist records with a practice address in Kentucky. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 40% of them.
- NPI issued2013 · 40% of these records are older, 57% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 32% of these records are
- Graduated2013 · median 2016 among the 1,033 with a school on file
- Record last updated2019 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
28 physical therapist records list a practice address in London
They are 28 of the 690 NPPES records with a practice address in London, and 3,233 physical therapist records in Kentucky.
All 3,233 in Kentucky → Every provider in London → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Jamie Blevins, PT, DPTLondon, KY 407441679041156
- Nathan LundyLondon, KY 407441487460580
- Stephen Sears, DPTLondon, KY 407441841845104
- Haley SmithLondon, KY 407441700617552
- Edward Valentine, PTLondon, KY 407441104928969
- Jordan Wilkerson, PT, DPTLondon, KY 407441881467363
- Nicole Bachelet, DPTLondon, KY 407411639692890
- Sarah Barrier, DPTLondon, KY 407411174035976
Common questions
What is Dereni Blake Brock, PT's NPI number?
Dereni Blake Brock, PT's National Provider Identifier (NPI) is 1114358702, issued on Dec 6, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Dereni Blake Brock, PT located?
The NPPES record lists a practice address at 195 Commercial Dr, London, KY, 40744. Phone: (606) 657-2354. Providers update this record themselves, so call before visiting.
How can I verify Dereni Blake Brock, PT's license?
NPPES lists Kentucky license number 006310, as entered by the provider. Search the Kentucky 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.