MR. KEVIN RUSSELL BLACKMON (NPI# 1801805254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801805254 |
| Entity Type | Individual |
| Full Name | MR. KEVIN RUSSELL BLACKMON |
| Credential | PT |
| Practice Address |
8391 N Davis Hwy Pensacola FL 32514-6048 |
| Practice Telephone | 8504945403 |
| Practice Fax Number | 8504944910 |
| Mailing Telephone | 8504945403 |
| Mailing Fax Number | 8504944910 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT18620 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSE | PT18620 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881014595 | Kevin Blackmon | Pharmacist | 1040 Chesterfield Hwy, Cheraw, SC 29520-7010 | 2014-04-21 |
| 1679700140 | Kevin Neely Blackmon | Radiology | 1210 W Faris Rd, Greenville, SC 29605 | 2009-06-11 |
| 1538121892 | Kevin Blackmon | Anesthesiology | 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | 2006-04-03 |
| Street Address |
8391 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824265 | Samuel Grissom | Physical Medicine & Rehabilitation | 8391 N Davis Hwy, Pensacola, FL 32514 | 2005-10-12 |
| 1679829246 | Kathaleen Cecile Mccollum | Physical Therapist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2012-07-31 |
| 1144475146 | Gael Jean Yonnet | Physical Medicine & Rehabilitation | 8391 N Davis Hwy, Pensacola, FL 32514 | 2008-11-19 |
| 1164618005 | Donna M Shepherd | Physical Therapist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2007-09-24 |
| 1730198102 | Teena Elizabeth Carroll | Specialist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2006-08-05 |
| 1700895190 | William Jr Moore | Specialist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2006-08-05 |
| 1457360745 | Jennifer Jeane Sikes | Specialist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2006-08-05 |
| 1891742326 | West Florida Healthworks LLC | Specialist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2006-05-29 |
| 1174578579 | West Florida Regional Medical Center | Internal Medicine | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482876 | Courtney Deason | Physical Therapist | 2156 W Nine Mile Rd Ste D, Pensacola, FL 32534-9464 | 2020-09-22 |
| 1619582855 | Hailey Marie Bates Vannoy | Physical Therapist | 4925 Grande Dr Fl 2, Pensacola, FL 32504-8965 | 2020-09-14 |
| 1396389649 | Cortney Hays | Physical Therapist | 12601 Sorrento Rd Ste A, Pensacola, FL 32507-8762 | 2019-10-30 |
| 1427609288 | Michael A Pannell | Physical Therapist | 13137 Sorrento Rd Ste C, Pensacola, FL 32507-8777 | 2019-09-24 |
| 1578043436 | Monique E Starke | Physical Therapist | 4301 Devereux Dr, Pensacola, FL 32504-7813 | 2018-08-20 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1134641012 | Kaydee Anne Zimmern | Physical Therapist | 165 E Intendencia St Ste 200, Pensacola, FL 32502-5805 | 2017-07-12 |
| 1225563182 | Amy Simonetta | Physical Therapist | 922 E Bobe St, Pensacola, FL 32503-3962 | 2017-04-27 |
| 1811432990 | Francisco Tangan Jr. | Physical Therapist | 8610 Eight Mile Creek Rd, Pensacola, FL 32526-8758 | 2016-12-28 |
| 1730622218 | Justine Williams | Physical Therapist | 1108 Airport Blvd Ste C, Pensacola, FL 32504-8623 | 2016-12-01 |
| Find all providers in PENSACOLA | ||||
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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.