BLAKE EDWARD LANE BERKENBILE NPI 1962372045

NPI Information

  • NPI: 1962372045
  • Provider Name: BLAKE EDWARD LANE BERKENBILE
  • Classification: Recreational Therapist Assistant - 226000000X
  • Entity Type: Individual
  • Address: 4961 LONG PRAIRIE RD STE 110
    FLOWER MOUND, TX
    ZIP 75028
  • Phone: (800) 975-3859

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NPI Details

Blake Edward Lane Berkenbile is a recreational therapist assistant in Flower Mound, TX. The provider is recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts. Blake Edward Lane Berkenbile NPI is 1962372045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4961 LONG PRAIRIE RD STE 110
FLOWER MOUND, TX
ZIP 75028-794
Phone: (800) 975-3859

The enumeration date for this NPI number is 11/5/2025 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1226000000XRecreational Therapist AssistantTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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