Active NPIIndividual providerSole proprietor

Keith Blackwell, PT

Physical Therapist in Eugene, Oregon

NPI Number1649531328
Practice location
1166 W 7TH Ave, Eugene, OR 97402-4616
Fax
541-654-4680
Last updated
January 17, 2025

Keith Blackwell, PT is a Physical Therapist based in Eugene, OR. Keith Blackwell, PT holds the professional credentials of PT. The NPI number for Keith Blackwell, PT is 1649531328 and holds license No. 3956 (OR). The current practice location address is 1166 W 7TH Ave, Eugene, OR 97402-4616 and the office can be reached by phone at 458-210-2940 and by fax at 541-654-4680. The NPI was assigned on May 30, 2012 and the record was last updated in NPPES on January 17, 2025.

●Provider Profile Details

NPI Number
1649531328
Provider Name
Keith Blackwell
Credential
PT
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Enumeration Date
May 30, 2012
Last Update Date
January 17, 2025
Certification Date
January 17, 2025
NPI Status
Active

◉Business Practice Location Address

Address
1166 W 7TH Ave
Eugene, OR 97402-4616
City
Eugene
State
Oregon
ZIP
97402-4616
Country
US
Phone Number
458-210-2940
Fax Number
541-654-4680

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Therapist225100000XYes3956OR

#Other Provider Identifiers

No legacy or other 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) and holds license No. 3956 (OR).

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 at npiregistry.cms.hhs.gov.

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