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

Nicholas Blackburn, PTA

Individual provider Physical Therapy Assistant · NPI 1366861239

Nicholas Blackburn, PTA is a Physical Therapy Assistant in West Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
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

1 Still Hopes Dr
West Columbia, SC 29169-7164
Phone: (803) 233-7130
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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 1955 (SC)

Record details

NPI number1366861239
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 8, 2014
Last updated in NPPESApril 8, 2014
Mailing address1 Still Hopes Dr, West Columbia, SC 29169-7164

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