Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN MACKENZIE BLACKBURN, PTA
ActiveKAITLYN MACKENZIE BLACKBURN, PTA is a Sports Medicine (PM&R) healthcare provider located in ORLANDO, Florida. NPI 1285529875 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · ORLANDO, FL
Registration Details
- NPI Number
- 1285529875
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2025 (1.2142572371801 yrs)
- Last Updated
- Jun 12, 2025
- License
-
PTAT34078 (FL)
Practice Information
- Address
-
2519 S ORANGE AVEORLANDO, FL, 328064545Browse FL providers · Browse ZIP 32806
- Phone
- 4076481697
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in ORLANDO, FL
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE L MICHALAK | ATC CSCS | 1073680286 |
| TATIANA FERNANDEZ BOTERO | — | 1912486028 |
| BRANDON DAVID GEORGE | PTA | 1235600354 |
| COURTNEY QUINN | MS, ATC, LAT | 1194298216 |
| STEVEN M GOLDEN | PTA | 1215578638 |
| ZACHARY BETHEL | PTA | 1073380358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.