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Byron Blackwell, MPT

NPI 1508259334ActiveIndividual· Physical Therapist· Bogalusa, LA

Physical Therapist (MPT) in Bogalusa, Louisiana, licensed in LA, with an NPI issued in March 2015. Medicare paid $88,942 for services to 88 patients in 2024.

Overview

NPI1508259334
StatusActive
Entity typeIndividual
CredentialMPT
Sole proprietorNo
NPI issuedMar 18, 2015
Last updated in NPPESMar 18, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT07163RLA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (LA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients88
Services billed5,594 across 11 procedure codes
Paid by Medicare$88,942

Medicare sources and data years

Education and affiliations

Graduation year2002
Medicare specialtyPhysical Therapist In Private Practice

Source: CMS Care Compare

Other Physical Therapist providers in Bogalusa

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