Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jerry William Blackburn

Individual provider Physical Therapist · NPI 1275438525

Jerry William Blackburn is a Physical Therapist in Cary, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

100 Cornerstone Dr
Cary, NC 27519-8453
Phone: (919) 460-1921
Fax: (919) 460-1929
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P25219 (NC)

Record details

NPI number1275438525
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2026
Last updated in NPPESOctober 8, 2026
Certification dateOctober 8, 2026

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