Jerry Blackwell Jr, LAT
NPI 1598473860 · Athletic Trainer · Thibodaux, LA
Jerry Blackwell Jr, LAT is a Athletic Trainer provider in Thibodaux, LA (NPI 1598473860).
Provider details
- NPI number
- 1598473860
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- J00235 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Frequently asked questions
- What is Jerry Blackwell Jr's NPI number?
- Jerry Blackwell Jr's National Provider Identifier (NPI) is 1598473860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Blackwell Jr's specialty?
- Jerry Blackwell Jr is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jerry Blackwell Jr located?
- Jerry Blackwell Jr's practice location on file with NPPES is 2498 Pineridge St, Thibodaux, LA 70301-3959.
- What is Jerry Blackwell Jr's phone number?
- The practice phone number listed in the NPPES registry for Jerry Blackwell Jr is (985) 446-7573.
- Is Jerry Blackwell Jr's NPI active?
- Yes — Jerry Blackwell Jr's NPI (1598473860) is active in the NPPES registry as of the last update on 2022-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.