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

Tony Bleckley, PT

Individual provider Physical Therapist · NPI 1619971207

Tony Bleckley, PT is a Physical Therapist in Private Practice in Kingsport, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2005, 21 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
21
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

105 W Stone Dr 1D
Kingsport, TN 37660-3256
Phone: (423) 578-1560
Fax: (423) 392-7055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 4928 (TN)

Record details

NPI number1619971207
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESSeptember 16, 2009
Mailing addressPo Box 9, Kingsport, TN 37662-0009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kingsport