Physical Therapist, Electrophysiology, Clinical
MARK BLACKLEY Physical Therapist
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1215988605 · enumerated 2006-05-12 · record updated 2025-07-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location PHYSICAL THERAPY CLINIC, USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO, 80913-4604 (719) 526-7120 Google Maps Apple Maps OpenStreetMap
- Mailing address 1650 COCHRANE CIR, ATTN: CREDENTIALS OFFICE, USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO, 80913-4604 (719) 526-7844 Fax (719) 526-7984 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist, Electrophysiology, Clinical 2251E1300X · Primary · License 2788 CO
In this directory
CO El Paso County Fort Carson Physical Therapist, Electrophysiology, Clinical
Locations and evidence
-
Practice location
FORT CARSON, CO, 809134604
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.