WILLIAM JOSEPH BLACKBURN (NPI# 1992795777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992795777 |
| Entity Type | Individual |
| Full Name | WILLIAM JOSEPH BLACKBURN |
| Credential | PT |
| Practice Address |
560 South Loop Rd. Edgewood KY 41017 |
| Mailing Address |
Po Box 6031 Cincinnati OH 45270-6031 |
| Practice Telephone | 8593015600 |
| Practice Fax Number | 8593015669 |
| Mailing Telephone | 5135574270 |
| Mailing Fax Number | 5135573214 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 004563 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 8700133500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033683529 | William Kelly Blackburn | Massage Therapist | 24620 Russell Rd Apt D102, Kent, WA 98032-4745 | 2019-01-17 |
| 1447805064 | William Blackburn | Speech-Language Pathologist | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2019-08-09 |
| 1982137394 | William Ryan Blackburn | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2017-04-04 |
| 1467719880 | William Luke Blackburn | Chiropractor | 619 Sw 152nd St, Burien, WA 98166-2212 | 2012-04-23 |
| 1831166057 | William P Blackburn | Anesthesiology | 201 Avalon Ave, Muscle Shoals, AL 35661-2805 | 2006-03-07 |
| 1124025101 | William E Blackburn | Urology | 1760 Nicholasville Rd, Suite 301, Lexington, KY 40503-1471 | 2005-07-05 |
| Street Address |
560 SOUTH LOOP RD. |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1487288635 | Sovereignty Health Services LLC | Physical Therapist | 1319 Woodbridge Station Way Unit 102, Edgewood, MD 21040-3852 | 2020-02-26 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1962941179 | Amber Nicole Stewart | Physical Therapist | 1401-f Pulaski Hwy, Edgewood, MD 21040-1398 | 2017-02-21 |
| 1760727085 | Jennifer Woltermann Kamer | Physical Therapist | 2950 Turkeyfoot Rd, Edgewood, KY 41017-5400 | 2012-11-28 |
| 1124371034 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1401-f Pulaski Highway, Edgewood, MD 21040-1398 | 2012-10-17 |
| 1447541909 | Rona H Vanwilligen | Physical Therapist | 1851 Highway 333, 2-b, Edgewood, NM 87015 | 2011-05-02 |
| 1790910263 | Edith Head | Physical Therapist | 108 N Houston, Edgewood, TX 75117 | 2009-05-27 |
| 1083849939 | Amy Lynn Gassmann | Physical Therapist | 104 W. Union St., Edgewood, IA 52042 | 2009-05-21 |
| 1821270828 | Fowler Enterprises, Inc. | Physical Therapist | 1851-2b Old Highway 66, Edgewood, NM 87015 | 2007-11-30 |
| Find all providers in EDGEWOOD | ||||
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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.