- Practice location
- 1166 W 7TH Ave, Eugene, OR 97402-4616
- Phone
- 458-210-2940
- Fax
- 541-654-4680
- Last updated
- January 17, 2025
Keith Blackwell is a Physical Therapist based in Eugene, OR. Keith Blackwell practices in Eugene, OR and has the professional credentials of PT. The NPI Number for Keith Blackwell is 1649531328 and holds a License No. 3956 (OR). The current practice location address for Keith Blackwell is 1166 W 7TH Ave, Eugene, OR 97402-4616 and can be reached out via phone at 458-210-2940 and via fax at 541-654-4680.
Provider Profile Details
- NPI Number
- 1649531328
- Provider Name
- Keith Blackwell
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1166 W 7TH Ave, Eugene, OR 97402-4616
- Phone Number
- 458-210-2940
- Fax Number
- 541-654-4680
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 30, 2012
- Last Update Date
- January 17, 2025
- Certification Date
- January 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1166 W 7TH Ave
Eugene, OR 97402-4616 - City
- Eugene
- State
- Oregon
- Zip
- 97402-4616
- Phone Number
- 458-210-2940
- Fax Number
- 541-654-4680
Provider Business Mailing Address Details
- Address
- 1166 W 7TH Ave
Eugene, OR 97402-4616 - City
- Eugene
- State
- OR
- Zip
- 97402-4616
- Phone Number
- 458-210-2940
- Fax Number
- 541-654-4680
License Information
- License Number
- 3956
- License State
- OR
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Keith Blackwell, PT?
The NPI number of Keith Blackwell, PT is 1649531328. It was assigned on May 30, 2012 and is currently active in the NPPES registry.
What is the specialty of Keith Blackwell, PT?
Keith Blackwell, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 3956.
Where does Keith Blackwell, PT practice?
The practice location is 1166 W 7TH Ave, Eugene, OR 97402-4616. The office can be reached at 458-210-2940 (phone) or 541-654-4680 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649531328 directly on the NPPES registry website.