NPI age
19 years
Enumerated 2006-08-23
● Active
Type 1 · Individual
Evan Blackburn, P.T.
Blackburn is 1 of 122 physical therapist providers in Suwanee and 1 of 7225 in Georgia.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-11-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7225 active physical therapist providers in Georgia.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
1180 Satellite Blvd Nw, Suite 100
Suwanee, GA 300244636
Mailing address
1180 Satellite Blvd Nw, Suite 100
Suwanee, GA 300244636
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 005107 | LICENSE # |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physical therapist provider has been added in Suwanee in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.