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

Fernanda Blackmer, PTA

Individual provider Physical Therapy Assistant · NPI 1912709965

Fernanda Blackmer, PTA is a Physical Therapy Assistant in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

5502 Marvin Shields Blvd Bldg 472
Gulfport, MS 39501
Phone: (228) 822-5138
Fax: (228) 822-5265
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4769 (MS)

Record details

NPI number1912709965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 25, 2025
Mailing address13011 Lambrecht Rd, Gulfport, MS 39503-7736

Other providers in Gulfport