Sydney Lauren Blackman, SLP-CFY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204001036 Issued in VA

Practice address

3821 Wilson Blvd
Arlington, VA 22203-1981

Phone

(484) 395-3482

Fax

(484) 813-6530

NPI assigned

Aug 19, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1871241414

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Washington, DC
  • NPI 1508133661

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1013635507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N RANDOLPH ST APT 1500",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034073",
            "telephone_number": "267-322-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031981",
            "telephone_number": "484-395-3482",
            "fax_number": "484-813-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "SYDNEY",
        "middle_name": "LAUREN",
        "credential": "SLP-CFY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD",
            "identifier": "ZAR122554059001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally F Bird, MSW LCSW
• Kelly Elizabeth Bishop, PA-C, M.S.
• Amelia Black
• Emalee Black, PHARMD
• Jessica Donze Black, RD
• Carly B Blackstone, PSY.D.
• Guido Blacutt
• Thomas Blahovec, P.T.
• Martelle Blaine, PA-C
• Maxwell Blake

• Speech-Language Pathologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.