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

Kaitlyn Mackenzie Blackburn, PTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1285529875

Kaitlyn Mackenzie Blackburn, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2025.

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

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Practice location Address checks out

2519 S Orange Ave
Orlando, FL 32806-4545
Phone: (407) 648-1697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence PTAT34078 (FL)

Record details

NPI number1285529875
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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