Kate Erica Blackburn, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2008005693 Issued in MO

Practice address

1015 Meyer Rd
Wentzville, MO 63385-3457

Phone

(636) 265-1505

Fax

(636) 266-2112

NPI assigned

Oct 20, 2010

Last updated

May 20, 2019By 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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friedrichs Physical Therapy LLCGroup PAC ID 7618290933, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Friedrichs Physical Therapy, LLC

  dba Spirit Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
  • NPI 1720481591

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Georgia Chiropractic LLC

  • Chiropractor
  • O'Fallon, MO
  • NPI 1750506994
  NPD
• Synergy Chiropractic Center, LLC

  • Chiropractor
  • Wentzville, MO
  • NPI 1548459530
  NPD

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1316257637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688659",
            "telephone_number": "636-265-1505",
            "fax_number": "636-266-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853457",
            "telephone_number": "636-265-1505",
            "fax_number": "636-266-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Central School Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633047113",
            "country_code": "US",
            "telephone_number": "636-851-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "KATE",
        "middle_name": "ERICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008005693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Billing
• Bio-Medical Applications of Missouri, Inc. (Fresenius Medical Care Wentzville)
• Joan K Birchler, RN, CPNP
• Leslie Maryann Birke, RDH
• Kyle Eric Bishop, LAT,ATC,BS
• Trina Nicole Blackwood, MOTR/L
• Anthony Bland, LPC
• Jennifer Lindsay Blei, D.C.
• Darcy Boatright, P.T.
• Bukola Ponmile Boboye

• Physical Therapist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.