Gina Lee Blackman, MSE, CCC-SLP
NPI 1174379408ActiveIndividual· Speech-Language Pathologist· Norfolk, NE
Speech-Language Pathologist (MSE, CCC-SLP) with Family Physical Therapy and Sports Center, practicing in Norfolk, Nebraska. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1174379408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSE, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Apr 26, 2024 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 2846 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NE) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Family Physical Therapy and Sports CenterLexington, NE · 36 clinicians
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