Robert Mark Blackburn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1123263 Issued in TX

Practice address

Stephenville Sports Rehab and Physical Therapy Inc
2269 NW Loop
Stephenville, TX 76401

Phone

(254) 965-2723

Fax

(254) 965-7394

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Physical Therapy LLCGroup PAC ID 9638606510, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hometown Physical Therapy, LLC

  • Physical Therapist
  • Stephenville, TX
  • NPI 1225857261
  Medicare reassignment Care Compare group NPD
• Hometown Physical Therapy, LLC

  • Physical Therapist
  • Hico, TX
  • NPI 1982420659
  NPD Authorized official
• Weatherford Physical Therapy Inc

  • Physical Therapist
  • Weatherford, TX
  • NPI 1023190329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003980871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 N W LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-965-2723",
            "fax_number": "254-965-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STEPHENVILLE SPORTS REHAB AND PHYSICAL THERAPY INC",
            "address_2": "2269 NW LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-965-2723",
            "fax_number": "254-965-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1123263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Bednarz
• Caitlyn Benson
• Donald E Benson, MD
• Jeffrey Bierman, PT
• Allyson Black
• Blakeley Enterprise Inc.
• Melissa Lynne Blue, FNP
• Izaiah Bogs
• Hayley Booker
• David Boucher, MD

• Physical Therapist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.