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MARK WILLIAM BLACKLEY PHYSICAL THERAPIST
NPI 1215988605
Physical Therapist - Electrophysiology, Clinical in Fort Carson, CO

Active since May 12, 2006
PHYSICAL THERAPY CLINIC, USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913(719) 526-7120 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2025, Mar 31, 2021 (2 updates tracked since 2021).

About Mark William Blackley Physical Therapist NPPES

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

MARK WILLIAM BLACKLEY PHYSICAL THERAPIST (NPI 1215988605) is an individual electrophysiology, clinical provider in Fort Carson, Colorado, licensed in Colorado (2788) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1215988605
Entity TypeIndividualMale
Primary Taxonomy2251E1300X
Provider Legal NameMARK WILLIAM BLACKLEYCredential: PHYSICAL THERAPIST
Location AddressPHYSICAL THERAPY CLINIC, USA MEDDAC, EVANS ARMY COMMUNITY HOSPITALFort Carson, CO 80913-4604
Mailing Address1650 Cochrane Cir, Attn: Credentials Office, Usa Meddac, Evans Army Community HospitalFort Carson, CO 80913-4604 · (719) 526-7844 · Fax (719) 526-7984
Phone(719) 526-7120
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1215988605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251E1300X
License✔ Licensed in CO · 2788
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
PHYSICAL THERAPY CLINIC, Fort Carson, CO 80913
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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 Mark Blackley's NPI number?

The NPI number for Mark Blackley is 1215988605. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Mark Blackley located?

Mark Blackley practices at Physical Therapy Clinic Usa Meddac, Evans Army Community Hospital, Fort Carson, CO 80913. The listed phone number is (719) 526-7120.

What is Mark Blackley's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

When was this NPI record last updated?

The NPPES record for Mark Blackley was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.