Turner Blackburn, PT
Individual provider Active NPI Physical Therapist · Manchester, GA
NPI 1629136049 · NPPES record last updated Jan 10, 2017
Key facts
- NPI
- 1629136049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 676 (GA)
- Practice address
- 1140 Warm Springs Hwy
Manchester, GA 31816-1166 - Phone
- (706) 846-3717
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 676 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clemson Sports Medicine and Rehabilitation, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 676 | GA | Yes |
Addresses
Primary practice location
1140 Warm Springs Hwy
Manchester, GA 31816-1166
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other providers in Manchester, GA
- Abel Nmi Aguilar
- Angel Heart Homecare & Hospice
- Beautifull Butterfly Family Resource Center Inc.
- Beckhams HHC Pharmacy Inc
- Crystal Boykin
- Adonis Bray
- Donald Garrett Brown
- Clemson Sports Medicine and Rehabilitation, Inc
- Clyde Copeland
All providers in Manchester, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.