IndividualActive
Kaitlyn Blackburn, PTA
NPI 1285529875 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Orlando, FL
Provider details
- NPI number
- 1285529875
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTAT34078 (FL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense PTAT34078 (FL)
Allopathic & Osteopathic Physicians
Practice location
2519 S Orange Ave
Orlando, FL 32806-4545
Phone: (407) 648-1697
Approximate (ZIP-level) locationGet directions
Mailing address
2519 S Orange Ave
Orlando, FL 32806-4545
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.