Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blakelynn Colclasure Bass, DPT

Individual provider Physical Therapy Clinic/Center · NPI 1629693601

Blakelynn Colclasure Bass, DPT is a Physical Therapist in Private Practice in Vidalia, Louisiana. Qualified in 2020, 6 years ago. Practices with Core Physical Therapy, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

4616 Highway 84 W
Vidalia, LA 71373-3357
Phone: (318) 336-5400
Fax: (318) 336-8622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10613 (LA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 10613 (LA)

Record details

NPI number1629693601
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 15, 2020
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Core Physical Therapy, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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