Blackburn Consulting, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3725 Issued in NH

Legal business name

BLACKBURN CONSULTING, LLC

Practice address

45 Lyme Rd
Suite 206a
Hanover, NH 03755-1219

Phone

(603) 277-9784

Fax

(443) 926-5980

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Gawen Blackburn, MPT

Title

Owner/Physical Therapist

Phone

(603) 277-9784

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blackburn Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1013350784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LYME RD",
            "address_2": "SUITE 206A",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551219",
            "telephone_number": "603-277-9784",
            "fax_number": "443-926-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYME RD",
            "address_2": "SUITE 206A",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551219",
            "telephone_number": "603-277-9784",
            "fax_number": "443-926-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GAWEN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-277-9784",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700901261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackburn Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belonging Medical Group PLLC
• Heather Bemis, PHD
• Mary Helen Bentley, MSW
• Jessica Marie Berry, OD
• Ivy L Billard
• Lisa G. Blackburn, P.T.
• William S. Bloom, MD
• Ann C Bracken, MD, PHD
• Charlene F Bradley, RN
• Katherine M Bramhall, LMVT, NHCM

• Physical Therapist in Hanover, NH
• Providers in Hanover, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.