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CARESSA BLACKMAN CTRS
NPI 1396367405
Recreation Therapist in Caddo Mills, TX

Active since May 12, 2020
4820 CHRISTIE AVE, CADDO MILLS, TX 75135(843) 476-3460 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2021, May 12, 2020 (2 updates tracked since 2020).

About Caressa Blackman Ctrs NPPES

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

CARESSA BLACKMAN CTRS (NPI 1396367405) is an individual recreation therapist in Caddo Mills, Texas and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1396367405
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameCARESSA BLACKMANCredential: CTRS
Location Address4820 CHRISTIE AVECaddo Mills, TX 75135
Mailing Address1201 E 9th StBonham, TX 75418-4059 · (903) 583-1405
Phone(843) 476-3460
Sole ProprietorNo
Enumeration DateMay 12, 2020
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1396367405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
4820 CHRISTIE AVE, Caddo Mills, TX 75135
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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 Caressa Blackman's NPI number?

The NPI number for Caressa Blackman is 1396367405. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Caressa Blackman located?

Caressa Blackman practices at 4820 Christie Ave, Caddo Mills, TX 75135. The listed phone number is (843) 476-3460.

What is Caressa Blackman's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Caressa Blackman was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.