REBOUND
NPI 1083899066
Chiropractor - Sports Physician in Kent, WA

Q: What is Blackburn Clinic, Inc. Ps's NPI number?

The NPI number for Blackburn Clinic, Inc. Ps is 1083899066. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is doing business as Rebound.

Q: What is Blackburn Clinic, Inc. Ps's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since January 08, 2008

11107 SE KENT KANGLEY RD, KENT, WA 98030(253) 854-8880(253) 854-7160 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rebound NPPES

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

REBOUND (NPI 1083899066) is a healthcare organization registered as a sports physician in Kent, Washington and active in the NPI registry since January 2008. The organization lists Gary Patrick Blackburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1083899066

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameBLACKBURN CLINIC, INC. PS

Location Address11107 SE KENT KANGLEY RDKent, WA 98030-7707

Mailing Address11107 Se Kent Kangley RdKent, WA 98030-7707 · (253) 854-8880 · Fax (253) 854-7160

Phone(253) 854-8880

Fax(253) 854-7160

Organization SubpartNo

Authorized OfficialGary Patrick BlackburnOwner · (253) 854-8880

Enumeration DateJanuary 8, 2008

✔ NPI 1083899066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in WA · CH00034702

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

11107 SE KENT KANGLEY RD, Kent, WA 98030

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Other Names 1

Doing Business AsRebound

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 Blackburn Clinic, Inc. Ps's NPI number?

The NPI number for Blackburn Clinic, Inc. Ps is 1083899066. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is doing business as Rebound.

Where is Blackburn Clinic, Inc. Ps located?

Blackburn Clinic, Inc. Ps is located at 11107 SE Kent Kangley Rd, Kent, WA 98030. The listed phone number is (253) 854-8880.

What is Blackburn Clinic, Inc. Ps's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

What insurance does Blackburn Clinic, Inc. Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Blackburn Clinic, Inc. Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blackburn Clinic, Inc. Ps was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.