Active NPI
Barbara J Blackwell, P.T.
- Orthopedic Physical Therapist
- South Dennis, MA
National Provider Identifier
1356493290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 20517
- Practice address
- 38 Route 134
Suite 7a
South Dennis, MA 02660-3700 - Phone
- (774) 268-1813
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 20517 | MA | Primary |
| Nutritionist | 133N00000X |
Addresses
Primary practice location
38 Route 134
Suite 7a
South Dennis, MA 02660-3700
Mailing address
3 Ashkins Drive
South Dennis, MA 02660
Phone (774) 268-1813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20517 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1356493290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ASHKINS DRIVE",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "02660",
"telephone_number": "774-268-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 ROUTE 134",
"address_2": "SUITE 7A",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "026603700",
"telephone_number": "774-268-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "BARBARA",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "20517",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Dennis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.