CORY BLACKBURN
NPI 1063340495
Physical Therapist in Carlsbad, CA

Active since May 13, 2026
2719 LOKER AVE W STE A, CARLSBAD, CA 92010(760) 918-9200 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cory Blackburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY BLACKBURN (NPI 1063340495) is an individual physical therapist in Carlsbad, California and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1063340495
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCORY BLACKBURN
Location Address2719 LOKER AVE W STE ACarlsbad, CA 92010-6679
Mailing Address10719 Tivoli CtBakersfield, CA 93311-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1063340495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2719 LOKER AVE W STE A, Carlsbad, CA 92010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory Blackburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375015894
PECOS Enrollment IDI20260616003004

Medicare Billing Reassignment

Medicare enrollment records show Cory Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2719 LOKER AVE W STE A
Carlsbad, CA 92010
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapist
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapy Assistant
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapist (Orthopedic)
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapist
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapist
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapist
2719 LOKER AVE W STE A
CARLSBAD, CA 92010
Physical Therapist
2719 LOKER AVE W STE A
CARLSBAD, CA 92010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Blackburn's NPI number?

The NPI number for Cory Blackburn is 1063340495. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Cory Blackburn located?

Cory Blackburn practices at 2719 Loker Ave W Ste A, Carlsbad, CA 92010. The listed phone number is (760) 918-9200.

What is Cory Blackburn's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Cory Blackburn enrolled in Medicare?

Yes. Cory Blackburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cory Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cory Blackburn reassigns Medicare benefits to Function For Life Physical Therapy, Inc. (Carlsbad, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cory Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cory Blackburn was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.