HEATHER A BLACKBURN (NPI# 1013928191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013928191 |
| Entity Type | Individual |
| Full Name | HEATHER A BLACKBURN |
| Credential | MD |
| Practice Address |
1545 E Southlake Blvd Suite 100 Southlake TX 76092 |
| Practice Telephone | 8174429300 |
| Practice Fax Number | 8174160108 |
| Mailing Telephone | 8174429300 |
| Mailing Fax Number | 8177960763 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | M3473 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DPS | L0146190 | 01 |
| TX | DEA | BB9753624 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245349273 | Heather Blackburn | Physical Therapist | 913 West Shore Rd, Saint Albans Bay, VT 05481 | 2006-08-30 |
| 1487121901 | Heather Blackburn | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2018-11-02 |
| 1053782748 | Heather Rain Blackburn | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2015-10-07 |
| Street Address |
1545 E SOUTHLAKE BLVD SUITE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385456 | Stefanie N Sanderson | Physician Assistant | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2005-06-09 |
| 1770017600 | Valeria Simone, Md Pllc | Surgery | 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092-6422 | 2017-04-18 |
| 1477000636 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 1545 E Southlake Blvd, Southlake, TX 76092-6422 | 2016-09-06 |
| 1033585039 | Whitney Holmans | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2015-08-13 |
| 1598172033 | Southlake Emergicare Pllc | Emergency Medicine | 1545 E Southlake Blvd, Er Dept, Southlake, TX 76092-6422 | 2014-07-16 |
| 1083029904 | Rebecca Miller | Physical Therapy Assistant | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2014-06-30 |
| 1417214057 | Pinnacle Anesthesia Consultants Pa | Physician Assistant | 1545 E Southlake Blvd, Suite 220, Southlake, TX 76092-6422 | 2012-04-20 |
| 1376848895 | Michael L Matthews | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2011-01-13 |
| 1386969814 | David G Garrigues | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2010-03-26 |
| 1487984985 | Rebecca P Hornsby | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174900377 | Pm&r Solutions, Pllc | Physical Medicine & Rehabilitation | 405 S Nolen Dr, Southlake, TX 76092-7504 | 2015-04-27 |
| 1275838732 | The University of Texas Southwestern Medical Center At Dallas | Physical Medicine & Rehabilitation | 470 East State Hwy 114, Southlake, TX 76092-7625 | 2011-01-14 |
| 1003201005 | Elise Tran | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2015-04-06 |
| 1467870436 | Mark Bauernfeind | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2014-04-07 |
| 1699100024 | Eric I Ray Md Pllc | Physical Medicine & Rehabilitation | 731 E Southlake Blvd, Suite 110, Southlake, TX 76092-6377 | 2013-09-04 |
| 1194169888 | Richard Zhang | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2013-04-24 |
| 1386821270 | Jennifer Lauren Donnelly Straach | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2008-01-23 |
| 1669406724 | Ryan S Reeves | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2006-07-11 |
| 1578597639 | Michael D Garcia | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708286 | Christopher Plumos Macasio | Physical Medicine & Rehabilitation | 1912 Mimosa Dr, Corsicana, TX 75110-2094 | 2020-10-19 |
| 1922606367 | Regen Med Pllc | Physical Medicine & Rehabilitation | 4101 Greenbriar Dr Ste 200, Houston, TX 77098-5244 | 2020-10-16 |
| 1871190181 | Memory Rehabilitation Specialist Pllc | Physical Medicine & Rehabilitation | 9214 Clearwater Ranch Ln, Richmond, TX 77407-1700 | 2020-10-08 |
| 1679185383 | Zherina Siasico Bernardino-buenaventura | Physical Medicine & Rehabilitation | 6107 Verde Place Ln, Katy, TX 77493-2827 | 2020-08-24 |
| 1104438951 | Stephanie Dawn Coffey | Physical Medicine & Rehabilitation | 105 E Jessup St, Alvarado, TX 76009-3230 | 2020-08-21 |
| 1942812821 | All In All Neuro Rehab and Wellness LLC | Physical Medicine & Rehabilitation | 6913 Jessica Ct, North Richland Hills, TX 76182-3667 | 2020-08-20 |
| 1568073559 | Medicao Rehab, Pllc | Physical Medicine & Rehabilitation | 1201 Arbre Ln, Friendswood, TX 77546-4906 | 2020-08-12 |
| 1164040325 | Texas Manual Therapy Inc | Physical Medicine & Rehabilitation | 10121 Broadway St, San Antonio, TX 78217-4420 | 2020-07-13 |
| 1295359149 | Ohzone Medical Pllc | Physical Medicine & Rehabilitation | 4300 Macarthur Ave Ste 150, Dallas, TX 75209-6544 | 2020-06-05 |
| 1275154189 | Travel Rehab LLC | Physical Medicine & Rehabilitation | 8404 Warren Pkwy Apt 1334, Frisco, TX 75034-7084 | 2020-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.