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NPI · 1114409588 · NPPES-sourced

Brentley Blackmon Pta

ActivePhysical Therapy Assistant
NPI Number
1114409588
Type 1 · Individual
Taxonomy Code
225200000X
Contact
(254) 772-8900
License TX · 2108097
Last Updated
Enumerated
Primary practice addressTX · 76710-5599
401 Owen LnWaco, TX 76710-5599
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About this NPIWhat this record shows.

NPI 1114409588 is registered to Brentley Blackmon Pta, a Physical Therapy Assistant practising at 401 Owen Ln in Waco, Texas. Physical Therapy Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Brentley Blackmon Pta has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Brentley Blackmon Pta accepts. To confirm in-network status with your specific health plan, contact Brentley Blackmon Pta directly at (254) 772-8900.

Frequently asked

Yes. NPI 1114409588 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapy Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (254) 772-8900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Brentley Blackmon Pta is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225200000X
Last updated
Enumerated
StatusActive
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