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

Mr. Jonathan David Blackwell, PTPHYSICALTHERAPIS

Individual provider Physical Therapist · NPI 1124034483

Mr. Jonathan David Blackwell, PTPHYSICALTHERAPIS is a Physical Therapist in Private Practice in Mt Pleasant, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2003, 23 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
23
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
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Practice location Address checks out

607 A Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone: (843) 884-7880
Fax: (843) 884-6635
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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 4780 (SC)

Record details

NPI number1124034483
Entity typeIndividual (Type 1)
GenderMale
Credentials PTPHYSICALTHERAPIS
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mt Pleasant