Tawnia Leorah Blackman

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0012335 Issued in CO

Practice address

6120 Barnes Rd Ste 160
Colorado Springs, CO 80922-2605

Phone

(719) 344-9270

NPI assigned

Jun 10, 2024

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

Locations

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.

• Peak Balance Family Wellness PLLC

  • Clinic/Center
  • Colorado Springs, CO
  • NPI 1265979488
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1285476291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BARNES RD STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222605",
            "telephone_number": "719-344-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BARNES RD STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222605",
            "telephone_number": "719-344-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "TAWNIA",
        "middle_name": "LEORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0012335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Blackburn
• Mya Nicole Blackburn
• David W Blackley, DDS
• Tina Marie Blackley, OTR
• Marissa Blackman
• Rebecca Lynn Blackmon, LPC
• Anthony R Blackmore
• Kristoffer Blackthorn Andersson III, DD
• Kimberly Blackwelder, LCSW
• Lisa Lallier Blackwelder, FNP

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.