Jennifer Ann Blackburn, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009214 Issued in OH

Practice address

7575 5 Mile Rd
Cincinnati, OH 45230-4346

Phone

(513) 233-4360

Fax

(513) 233-4361

NPI assigned

May 3, 2006

Last updated

Dec 20, 2013By the provider in NPPES

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

Other identifiers 4

Other names 1

• Ms. Jennifer Ann Vieth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Physical Therapy

  • Physical Therapy Clinic/Center
  • Batavia, OH
  • NPI 1396931168
  NPD (past)
• Orthopaedic Consultants of Cincinnati, Inc.

  dba Wellington Orthopaedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1396792529
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1164480695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-233-4360",
            "fax_number": "513-233-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-233-4360",
            "fax_number": "513-233-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2627170",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00325333",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9429771",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000390391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VIETH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne B Black, RN, CNP
• Sydney Black
• Tasherikah Black, MSW
• Allison Blackburn, PH.D.
• Heather Blackburn, PT, MPT
• Lori Anne Blackburn
• Terri J Blackburn, RN
• Grace Blacketer
• Cherese Blackley
• Donovan William Blackley

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.