Peggy Blackman, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013454 Issued in TX

Practice address

1317 St Claire Blvd
BLDG a #2
Mission, TX 78572-6636

Phone

(956) 584-3535

Fax

(956) 584-3633

NPI assigned

Jul 2, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Performance Therapeutics Mission

  • Physical Therapist
  • Mission, TX
  • NPI 1548279565
  NPD (past)
• Performance Therapeutics Mission PLLC

  • Rehabilitation Clinic/Center
  • Mission, TX
  • NPI 1043744337
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1053540765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4560",
            "fax_number": "956-618-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD",
            "address_2": "BLDG A #2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-584-3535",
            "fax_number": "956-584-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "PEGGY",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2013454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Francisco Bernal, CSFA
• Bienvenidos Primary Care, Inc.
• Bilingual Speech Learning Institute
• Bio Medical Applications of Texas, Inc.
• Bio-Medical Applications of Texas, Inc.
• Bless-Ed Home Care, Inc.
• Blessing Home Care LLC
• Lisa Blocker, M.ED.
• Bloom Therapy Services LLC
• Blue Angels

• All providers in Mission, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.