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

Mr. Gary Leon Blackburn, MSPT

Individual provider Physical Therapist · NPI 1487769352

Mr. Gary Leon Blackburn, MSPT is a Physical Therapist in Chula Vista, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1055 Tierra Del Rey Ste C
Chula Vista, CA 91910-7875
Phone: (619) 656-5102
Fax: (619) 656-5143
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 28897 (CA)

Record details

NPI number1487769352
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESApril 29, 2014

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