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

Mr. Byron Blackwell, MPT

Individual provider Physical Therapist · NPI 1508259334

Mr. Byron Blackwell, MPT is a Physical Therapist in Private Practice in Bogalusa, Louisiana. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
24
Licensed in
LA
In the registry since
2015
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

1202 Sunset Dr
Bogalusa, LA 70427-8710
Phone: (985) 735-1426
Fax: (985) 735-1428
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT07163R (LA)

Record details

NPI number1508259334
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMarch 18, 2015
Last updated in NPPESMarch 18, 2015
Mailing address1202 Sunset Dr, Bogalusa, LA 70427-8710

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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