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

Ryan Blackburn

Individual provider Physical Therapist · NPI 1326703646

Ryan Blackburn is a Physical Therapist in Private Practice in Poplarville, Mississippi. Graduated from Mississippi Medical College in 2025, 1 year ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Trained at
Mississippi Medical College
Licensed in
MS
In the registry since
2021

Practice location Address checks out

411 W North St
Poplarville, MS 39470-2203
Phone: (601) 795-2130
Show map & directions

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

Additional practice locations (2)

  • 1215 Highway 98 Byp, Columbia, MS 39429-3702 — (601) 444-5050
  • 701 William Carey Parkway, Hattiesburg, MS 39401-5461 — (601) 543-0221

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7955 (MS)

Record details

NPI number1326703646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJune 26, 2025
Certification dateJune 3, 2025
Mailing address42465 Highway 195, Haleyville, AL 35565-7052

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMISSISSIPPI MEDICAL COLLEGE
Graduated 2025 (1 years in practice)
Group practice Encore Rehabilitation, Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Poplarville