KAITLYN MACKENZIE BLACKBURN PTA NPI 1285529875

NPI Information

  • NPI: 1285529875
  • Provider Name: KAITLYN MACKENZIE BLACKBURN, PTA
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 2519 S ORANGE AVE
    ORLANDO, FL
    ZIP 32806
  • Phone: (407) 648-1697

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NPI Details

Kaitlyn Mackenzie Blackburn, PTA is a sports medicine physical medicine rehabilitation in Orlando, FL. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. Kaitlyn Mackenzie Blackburn, PTA NPI is 1285529875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2519 S ORANGE AVE
ORLANDO, FL
ZIP 32806-545
Phone: (407) 648-1697

The enumeration date for this NPI number is 6/12/2025 and was last updated on 6/12/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicinePTAT34078FLORIDAYes

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: 11/21/2025

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