NPI age
2 years
Enumerated 2023-12-26
● Active
Type 1 · Individual
Timothy Eric Blackwell, PTA
Blackwell is 1 of 7 physical therapy assistant providers in Greensboro and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-12Enumerated in NPPES
2023
2026
Where they practice
Practice location
1031 Lake Country Dr
Greensboro, GA 306425157
Mailing address
1765 Old West Broad St Bldg 2-200
Athens, GA 306062887
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 16096608 | CAQH # |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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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.