Individual provider Active NPI

Rachel Ross Blackwood, DPT

  • Specialist
  • Calera, AL
National Provider Identifier
1316946205
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTH4114 Issued in AL
Practice address
101 Highway 87
Suite 100
Calera, AL 35040
Phone
(205) 621-3077
Fax
(205) 621-3788
NPI assigned
Jul 21, 2005
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTH4114 AL Primary

Addresses

Primary practice location

101 Highway 87
Suite 100
Calera, AL 35040

Mailing address

PO Box 1694
Calera, AL 35040-1694
Phone (205) 621-3077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511002327 NC Practitioner - Physical Therapist in Private Practice 5890871719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jan 5, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 5, 2021 Accepting new patients
Duke University Health System, Inc. Physical Therapist Current Accepting new patients
Duke University Health System, Inc. Past Accepting new patients
Impact Rehabilitation and Sports Medicine, Inc. Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800

162 Legacy Oaks Dr
Ste 2102
Knightdale, NC 27545
Phone (919) 373-1799

5920 Sandy Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 954-3174

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

3000 Rogers Rd
Ste 110
Wake Forest, NC 27587
Phone (919) 385-1601

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1316946205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1694",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350401694",
            "telephone_number": "205-621-3077",
            "fax_number": "205-621-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIGHWAY 87",
            "address_2": "SUITE 100",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "35040",
            "telephone_number": "205-621-3077",
            "fax_number": "205-621-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "RACHEL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH4114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.