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MARK WILLIAM BLACKLEY PHYSICAL THERAPIST NPI 1215988605


NPI Information

NPI: 1215988605
Provider Name: MARK WILLIAM BLACKLEY, PHYSICAL THERAPIST
Classification: Physical Therapist - 2251E1300X
Entity Type: Individual

Specialization: Electrophysiology, Clinical

Address:
PHYSICAL THERAPY CLINIC
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL
FORT CARSON, CO
ZIP 80913
Phone: (719) 526-7120
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Mark William Blackley, PHYSICAL THERAPIST is an electrophysiology and clinical physical therapist in Fort Carson, CO. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures. Mark William Blackley, PHYSICAL THERAPIST NPI is 1215988605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PHYSICAL THERAPY CLINIC
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL
FORT CARSON, CO
ZIP 80913-604
Phone: (719) 526-7120

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/31/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251E1300XPhysical TherapistElectrophysiology, Clinical2788COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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