Active NPI
Erin Vick Blackwell, DPT
- Physical Therapist
- Auburn, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1-1024
- Practice address
- 2515 E Glenn Ave Ste 104
Auburn, AL 36830-6448 - Phone
- (334) 821-2256
- Fax
- (334) 826-8082
- NPI assigned
- Jun 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1-1024 | AL | Primary |
Addresses
Primary practice location
2515 E Glenn Ave Ste 104
Auburn, AL 36830-6448
Mailing address
2515 E Glenn Ave
Ste 104
Auburn, AL 36830-6448
Phone (334) 821-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Nova Southeastern Univ College of Dental Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Chambers SQ
Valley, AL 36854-2800
Phone (334) 631-1151
5409 Summerville Rd
Suite 3
Phenix City, AL 36867-7437
Phone (334) 947-1327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-1024 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Total Rehab, Inc | Physical Therapist | Current | Accepting new patients |
| Phenix City Elite Rehab Solutions LLC | Physical Therapist | Current | Accepting new patients |
Locations
2515 E Glenn Ave
Ste 104
Auburn, AL 36830
Phone (334) 821-2256
5409 Summerville Rd
Ste 3
Phenix City, AL 36867
Phone (334) 297-6721
4 Chambers Sq
Valley, AL 36854
Phone (334) 631-1151
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phenix City, AL
- NPI 1669059788
-
- Physical Therapist
- Valley, AL
- NPI 1316594732
-
- Physical Therapist
- Auburn, AL
- NPI 1952757650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1952962839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 E GLENN AVE",
"address_2": "STE 104",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306448",
"telephone_number": "334-821-2256",
"fax_number": "334-826-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 E GLENN AVE STE 104",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306448",
"telephone_number": "334-821-2256",
"fax_number": "334-826-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "ERIN",
"middle_name": "VICK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-22",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "1-1024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.