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

Connor Alexander Blanton

Individual provider Physical Therapist · NPI 1285418715

Connor Alexander Blanton is a Physical Therapist in Private Practice in Johnson City, Tennessee. Qualified in 2022, 4 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
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Practice location Address checks out

1043 Jack Vest Dr
Johnson City, TN 37614
Phone: (423) 439-5264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 E Ravine Rd, Kingsport, TN 37660-3814 — (423) 245-9600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14375 (TN)

Record details

NPI number1285418715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1185 W Mountain View Rd Apt 2104, Johnson City, TN 37604-2536

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City