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

Michelle Blacklock

Individual provider Physical Therapist · NPI 1548741861

Michelle Blacklock is a Physical Therapist in Private Practice in Cupertino, California. Graduated from University of California, San Francisco School of Medicine in 2018, 8 years ago. Practices with Rs Wellness Physical Therapy APC, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

10580 S De Anza Blvd
Cupertino, CA 95014-4450
Phone: (408) 366-1735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT295136 (CA)

Record details

NPI number1548741861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESAugust 24, 2018
Mailing address5471 Laura Dr, San Jose, CA 95124-6122

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Rs Wellness Physical Therapy Apc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cupertino