NPIMap

Organization Active NPI

Blacketer Enterprises, Inc

  • Physical Therapy Clinic/Center
  • Arlington, TX
National Provider Identifier
1295046050
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BLACKETER ENTERPRISES, INC
Practice address
6033 W Interstate 20
Arlington, TX 76017-1042
Phone
(817) 483-1746
Fax
(817) 483-5874
NPI assigned
Jun 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Jodi Marie Blacketer, PTNPI 1487761979
Title
President
Phone
(817) 483-1746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6033 W Interstate 20
Arlington, TX 76017-1042

Mailing address

6033 W Interstate 20
Arlington, TX 76017-1042
Phone (817) 483-1746

Other practice location 1

384 SW Johnson Ave Ste A1
Burleson, TX 76028-5360
Phone (817) 483-1746

Other names 1

  • Therapy Excellence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209000108 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981884905 Receives reassigned benefits from 23 practitioners
Practice locations: Arlington, TX; Burleson, TX; Mansfield, TX

National Provider Directory

National Provider Directory

Locations

6033 W Interstate 20
Arlington, TX 76017
Phone (817) 483-1746

6049 W Interstate 20
Arlington, TX 76017
Phone (817) 483-1746

4907 S Collins St
Ste 131
Arlington, TX 76018
Phone (817) 483-1746

524 E Lamar Blvd
Ste 130
Arlington, TX 76011
Phone (817) 483-1746

4907 S Collins St
Arlington, TX 76018

244 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 483-1746

384 SW Johnson Ave
Ste A1
Burleson, TX 76028
Phone (817) 483-1746

2251 Country Club Dr
Ste 119
Mansfield, TX 76063

801 E Debbie Ln
Ste 105
Mansfield, TX 76063
Phone (817) 483-1746

2251 Country Club Dr
Mansfield, TX 76063

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1295046050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 W INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171042",
            "telephone_number": "817-483-1746",
            "fax_number": "817-483-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 W INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171042",
            "telephone_number": "817-483-1746",
            "fax_number": "817-483-5874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 SW Johnson Ave Ste A1",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760285360",
            "country_code": "US",
            "telephone_number": "817-483-1746",
            "fax_number": "817-720-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACKETER ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-27",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "BLACKETER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-483-1746",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.