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

Timothy Eric Blackwell, PTA

Individual provider Physical Therapy Assistant · NPI 1982473419

Timothy Eric Blackwell, PTA is a Physical Therapy Assistant in Greensboro, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
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

1031 Lake Country Dr
Greensboro, GA 30642-5157
Phone: (706) 549-1663
Fax: (706) 546-8792
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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 PTA001092 (GA)

Record details

NPI number1982473419
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 26, 2023
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887

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