MR. JOHN DONALD BLACKBURN II


Address: 1995 Thunder Rd, Eagle Lake, FL 33839-3086
Phone: 8632244085

MR. JOHN DONALD BLACKBURN II (NPI# 1700417490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700417490
Entity Type Individual
Full Name MR. JOHN DONALD BLACKBURN II
Practice Address 1995 Thunder Rd
Eagle Lake
FL 33839-3086
Mailing Address 367 Holly Ridge Rd
Winter Haven
FL 33880-1114
Practice Telephone 8632244085
Mailing Telephone 8632244085
Enumeration Date 2020-01-31
Last Update Date 2020-01-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
5880 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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1891970901 John D. Blackburn Physical Therapist 500 Porter Ave, Aurora, MO 65605-2365 2008-01-08
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Office Location

Street Address 1995 THUNDER RD
City EAGLE LAKE
State FL
Zip Code 33839-3086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194841056 Jennifer L Griffith Physical Therapy Assistant 260 South Shore Dr., Eagle Lake, FL 33839 2007-03-22
1497205512 Kristina Garcia General Acute Care Hospital 200 Vista View Ave, Eagle Lake, FL 33839-3264 2016-10-13
1124569165 Maranda Gardner Home Health Aide 2272 Clover Ridge Ct, Eagle Lake, FL 33839-3917 2017-03-09
1184962607 Darmecia Mckay Occupational Therapist 855 Eagle Lake Loop Rd W, Eagle Lake, FL 33839-5619 2013-01-17

Providers in the same city

NPI Name Taxonomy Address Enumeration
1023598737 Patricia Marie Eagle Occupational Therapy Assistant 535 S Austin Rd, Eagle Lake, TX 77434-3001 2018-08-21
1013418466 Linda Harris Technician 1776 Strickland Ln, Eagle Lake, TX 77434-7082 2018-02-21
1346758208 Rachelle Shorter Home Health 818 E D St, Eagle Lake, TX 77434-2628 2018-01-12
1144748427 Jessica Capri Smolik Nurse Practitioner 600 Austin Rd, Eagle Lake, TX 77434-1510 2017-09-06
1851821763 Brenda Joyce Cunningham Nursing Home Administrator 1798 Strickland Ln, Eagle Lake, TX 77434-7082 2017-06-13
1124569165 Maranda Gardner Home Health Aide 2272 Clover Ridge Ct, Eagle Lake, FL 33839-3917 2017-03-09
1497205512 Kristina Garcia General Acute Care Hospital 200 Vista View Ave, Eagle Lake, FL 33839-3264 2016-10-13
1477920080 Lynne Pelletier Registered Nurse 24 Simard Lane, Eagle Lake, ME 04739-0307 2015-08-31
1619362167 Elena Marie Hernandez-lee Registered Nurse 409 Linda Dr, Eagle Lake, MN 56024-9618 2015-04-01
1376940171 Abdulahi Osman Contractor 248 Oak Dr, Eagle Lake, MN 56024-3404 2014-11-24
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and state

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1811597560 Hannah Ogle Specialist/Technologist 110 Gloria Drive, Hollister, FL 32147 2020-10-30
1740889377 Ryan Michael Hill Specialist/Technologist 314 S Habana Ave, Tampa, FL 33609-3223 2020-10-24
1568061182 Lester Vivian Leon Ferdinand Specialist/Technologist 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 2020-10-24
1770182651 Sarah Danielle Combs Specialist/Technologist 4521 Lenmore Street, Orlando, FL 32812 2020-10-21
1679170369 David S Duchin Specialist/Technologist 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 2020-10-06
1750988838 Jade Shields Specialist/Technologist 144 Enrede Ln, Saint Augustine, FL 32095-7436 2020-10-02
1639786940 Dewayne N Dubose Specialist/Technologist 344 Chesham St, Ormond Beach, FL 32174-0692 2020-09-30
1467069914 Alison M Dougan Specialist/Technologist 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 2020-09-29
1225643240 Megan Marisa Fox Specialist/Technologist 5803 Marta Dr, Tampa, FL 33617-1125 2020-09-15
1104430305 Nikki Page Keown Specialist/Technologist 12136 Luftburrow Ln, Hudson, FL 34669-5005 2020-09-04
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Competitor

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City EAGLE LAKE
Zip Code 33839

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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