Jonathan David Blackwell, PT PHYSICAL THERAPIS
NPI 1124034483ActiveIndividual· Physical Therapist· Mt Pleasant, SC
Physical Therapist (PT PHYSICAL THERAPIS) in Mt Pleasant, South Carolina, trained at Medical University of South Carolina College of Medicine (class of 2003). Medicare paid $39,678 for services to 28 patients in 2024.
Overview
| NPI | 1124034483 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT PHYSICAL THERAPIS |
| Sole proprietor | No |
| NPI issued | Jul 31, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4780 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 2,112 across 5 procedure codes |
| Paid by Medicare | $39,678 |
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Physical Therapist In Private Practice |
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All 101 physical therapists in Mt Pleasant · All physical therapists in South Carolina