Rachel Ross Blackwood, DPT
Individual provider Active NPI Specialist · Calera, AL
NPI 1316946205 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1316946205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PTH4114 (AL)
- Practice address
- 101 Highway 87
Suite 100
Calera, AL 35040 - Phone
- (205) 621-3077
- Fax
- (205) 621-3788
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- 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, Inc
Practice addresses (Care Compare)
162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Phone (919) 684-8111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210511002327 | NC | Practitioner - Physical Therapist in Private Practice | 5890871719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Past | Accepting new patients | |
| Impact Rehabilitation and Sports Medicine, Inc. | Past | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTH4114 | AL | Yes |
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
Other providers in Calera, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.