Quarneka Blackwell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6390 Issued in NC

Practice address

109 Penny Rd
High Point, NC 27260-2500

Phone

(336) 821-4000

NPI assigned

Jun 28, 2023

Sex

Female

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1679250088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEMON LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059830",
            "telephone_number": "336-862-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PENNY RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272602500",
            "telephone_number": "336-821-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "QUARNEKA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Lee Blackburn, PHARMD
• Anna Christine Blackley, DPT
• Brian Blacksten, LAT, ATC
• Marissa Louise Blackwelder
• Amonie Blackwell
• Taylor Blackwell
• Reandra Blade, LCSW
• Patricia Melvin Blair, SLP,CCC
• John Paul Blake I, M.D.
• Julianna Blatz, ATC

• Physical Therapy Assistant in High Point, NC
• Providers in High Point, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.