Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Evan Blackburn, P.T.
Physical Therapist in Suwanee, GA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1154437754
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Registry record
Entity type Individual (Type 1)
Name Evan Blackburn
Credential P.T.
Sex Male
Practice address 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA, 30024
Phone (404) 367-2080
Fax (770) 495-3493
Enumeration date Aug 23, 2006
Last updated in NPPES Nov 22, 2013
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT005107 (GA) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005107 | Other | GA | LICENSE # |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Evan Blackburn's NPI record?
Cross-check NPI 1154437754 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1154437754 active?
Yes, as of the latest NPPES snapshot, NPI 1154437754 is active (record last updated 2013-11-22).
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-22.