Aguila Jones Blackwell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA013591 Issued in OH

Practice address

9100 Centre Pointe Dr Ste 150
West Chester, OH 45069-4840

Phone

(513) 354-3700

NPI assigned

May 20, 2024

Sex

Male

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

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1326887555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RIDDLE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151020",
            "telephone_number": "513-326-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 CENTRE POINTE DR STE 150",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694840",
            "telephone_number": "513-354-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "AGUILA",
        "middle_name": "JONES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA013591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalita Biswakarma
• Casey Lee Bittner, D.C.
• Jason Maxwell Bittner, D.C.
• Makayla Black, ATC
• Jordan Blackaby, OT
• Cara D Blair, S.L.P.
• Monique Blakes
• Anthony J Blanchard, DPM
• Laura Blanchard, DPT
• Jadyn Bleau

• Physical Therapy Assistant in West Chester, OH
• Providers in West Chester, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.