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

Individual provider Physical Therapist · NPI 1154437754

Evan Blackburn, PT is a Physical Therapist in Private Practice in Suwanee, Georgia. Graduated from Cleveland University of Medicine and Surgery - Nlg in 1990, 36 years ago. Practices with Athletes in Motion LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
36
Trained at
Cleveland University of Medicine and Surgery - Nlg
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1180 Satellite Blvd NW Ste 100
Suwanee, GA 30024-4636
Phone: (404) 367-2080
Fax: (770) 495-3493
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT005107 (GA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1154437754
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESNovember 22, 2013
Mailing address1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024-4636

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCLEVELAND UNIVERSITY OF MEDICINE AND SURGERY - NLG
Graduated 1990 (36 years in practice)
Group practice Athletes In Motion Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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