Brooke Blackmon
NPI 1780418590 · Physical Therapy Assistant · Southgate, MI
Brooke Blackmon is a Physical Therapy Assistant provider in Southgate, MI (NPI 1780418590).
Provider details
- NPI number
- 1780418590
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5502008669 (MI)
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 20059 King RdWoodhaven, MI 48183-1032Phone: (734) 365-5112Fax: (734) 365-5115
Registry dates
- Enumerated
- 2024-08-26
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Frequently asked questions
- What is Brooke Blackmon's NPI number?
- Brooke Blackmon's National Provider Identifier (NPI) is 1780418590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brooke Blackmon's specialty?
- Brooke Blackmon is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brooke Blackmon located?
- Brooke Blackmon's practice location on file with NPPES is 15400 Northline Rd, Southgate, MI 48195-2689.
- What is Brooke Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Brooke Blackmon is (734) 285-0100.
- Is Brooke Blackmon's NPI active?
- Yes — Brooke Blackmon's NPI (1780418590) is active in the NPPES registry as of the last update on 2025-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.