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

Gina Lynette Blackerby, PT

Individual provider Physical Therapist · NPI 1689679466

Gina Lynette Blackerby, PT is a Physical Therapist in Private Practice in Iowa Park, Texas. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Licensed in
TX
In the registry since
2005
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

620 W Bank St
Iowa Park, TX 76367-2830
Phone: (940) 592-5900
Fax: (940) 592-5969
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1065332 (TX)

Record details

NPI number1689679466
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESAugust 6, 2014
Mailing address2311 Bridwell Rd, Iowa Park, TX 76367-8104

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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