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

MS. Blaine A. Parker, PTA

Individual provider Physical Therapy Assistant · NPI 1114370616

MS. Blaine A. Parker, PTA is a Physical Therapy Assistant in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2200 Gum Branch Rd Ste G
Jacksonville, NC 28540-4574
Phone: (910) 353-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5957 (NC)

Record details

NPI number1114370616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016

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