Individual provider · Type 1 NPI

Timothy Eric Blackwell, PTA

Physical Therapy Assistant · Greensboro, GA

NPI number 1982473419 Active

Practice location

1031 Lake Country Dr
Greensboro, GA 30642-5157

Fax (706) 546-8792

Mailing address

1765 Old West Broad St Bldg 2-200
Athens, GA 30606-2887

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA001092 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1982473419

Timothy Eric Blackwell, PTA's National Provider Identifier is 1982473419, issued on Dec 26, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Greensboro, GA. The record was last updated on Jul 1, 2025.