Carrie Blackwell, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

7922 Issued in OR

Practice address

642 Lincoln St
Eugene, OR 97401-2541

Phone

(541) 729-1731

Fax

(541) 342-1985

NPI assigned

Nov 14, 2014

Sex

Female

Sole proprietor

Yes

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

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.

• Essential Yoga and Massage LLC

  • Massage Therapist
  • Eugene, OR
  • NPI 1700453735
  Authorized official Same address or phone

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1578969762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W 26TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052532",
            "telephone_number": "541-729-1731",
            "fax_number": "541-342-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 LINCOLN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012541",
            "telephone_number": "541-729-1731",
            "fax_number": "541-342-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "CARRIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "7922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackbird Psychotherapy, LLC
• Jelena Blackburn
• Roy M Blackburn, MD
• Michael Gene Blackmore, LMT
• Kyndra Blacks, LMT
• Karen Renee Blackwell, LCSW
• Keith Blackwell, PT
• Shannon Blackwell
• Monica Carola Blaine, MSW
• Gary Q Blair, DC

• Mechanotherapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.