Connie J Blackwell is a Kenosha, Wisconsin based female who is specialized as Physical Therapist Assistant. Active license number of Connie J Blackwell as Physical Therapist Assistant is 1326-019 in Wisconsin. Connie J Blackwell is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. She help patients to follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
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 the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist.
Complete Profile:
Connie J Blackwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Physical Therapy Assistant
Credentials:
PTA
Gender:
Female
Practice Address:
5219 88th Ave, Kenosha, Wisconsin, 53144-7468
Phone:
262-653-0850
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1699823542
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
08 Apr, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Connie J Blackwell are as mentioned below.
License Number
Specialization
State
Status
1326-019
Physical Therapy Assistant
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Connie J Blackwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
36122800
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5616 42nd Ave, Kenosha, Wisconsin
Zip:
53144-2530
Phone Number:
262-764-4500
Fax Number:
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Patients can reach Connie J Blackwell at 5219 88th Ave, Kenosha, Wisconsin or can call to book an appointment on 262-653-0850. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.