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

Michael Blackburn

Individual provider Physical Therapist · NPI 1992407829

Michael Blackburn is a Physical Therapist in Manassas, Virginia. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

8140 Ashton Ave Ste 104
Manassas, VA 20109-5699
Phone: (703) 257-3333
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT020316 (OH)

Record details

NPI number1992407829
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address13210 Trenton Rd, Galena, OH 43021-9508

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