Jena Blackwood PT DPT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JENA BLACKWOOD PT DPT PLLC

Practice address

32 Union SQ E Ste 1217
New York, NY 10003-3225

Phone

(917) 565-9812

Fax

(844) 990-4145

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Jena Blackwood, PT, DPTNPI 1962982496

Title

Owner

Phone

(917) 565-9812

Specialties & licenses 1

Addresses

Other names 1

• Fortuna Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jena Rae Blackwood, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1962982496
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1043015753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 1217",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033225",
            "telephone_number": "917-565-9812",
            "fax_number": "844-990-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 1217",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033225",
            "telephone_number": "917-565-9812",
            "fax_number": "844-990-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENA BLACKWOOD PT DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "JENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-565-9812",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortuna Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neyra Mohammed Jemal
• Oyindamola Jemilawon, LMSW
• Ursula Jemiolo, P.A.
• Alina Jen, PA-C
• Jeremy Jen, MD
• Jena Optical
• Andrea Erika Jenei
• Andrew Clayton Jenet
• Christina Li-Hong Jeng, MD, FASA, FASRA
• Mark Yungjie Jeng, MD, PHD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.