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

Mr. Michael David Blackledge, DPT

Individual provider Physical Therapist · NPI 1053856070

Mr. Michael David Blackledge, DPT is a Physical Therapist in Burien, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

15811 Ambaum Blvd SW Ste 140
Burien, WA 98166
Phone: (206) 327-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 — (206) 327-9880

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT291773 (CA)

Record details

NPI number1053856070
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 29, 2016
Last updated in NPPESMay 4, 2019
Mailing address15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166-3066

Other providers in Burien