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

Cory Blackburn

Individual provider Physical Therapist · NPI 1063340495

Cory Blackburn is a Physical Therapist in Private Practice in Carlsbad, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
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Practice location Address checks out

2719 Loker Ave W Ste A
Carlsbad, CA 92010-6679
Phone: (760) 918-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)

Record details

NPI number1063340495
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address10719 Tivoli Ct, Bakersfield, CA 93311-2229

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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