AMANDA E BLACKBURN PT
NPI 1467941955
Physical Therapist in South Lyon, MI

Active since May 09, 2018Accepts Medicare Assignment
22180 PONTIAC TRL STE E, SOUTH LYON, MI 48178(248) 446-0155(248) 446-0177 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, May 9, 2018 (2 updates tracked since 2018).

About Amanda E Blackburn Pt NPPES

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

AMANDA E BLACKBURN PT (NPI 1467941955) is an individual physical therapist in South Lyon, Michigan and active in the NPI registry since May 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1467941955
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAMANDA E BLACKBURNCredential: PT
Location Address22180 PONTIAC TRL STE ESouth Lyon, MI 48178-9097
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909
Fax(248) 446-0177
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 9, 2018
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1467941955 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.
22180 PONTIAC TRL STE E, South Lyon, MI 48178

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda E Blackburn Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335404250
PECOS Enrollment IDI20180524001687

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48178 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Physical Therapist
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Physical Therapy Assistant
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Physical Therapist (Orthopedic)
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Physical Therapy Assistant
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Physical Therapy Assistant
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Massage Therapist
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Physical Therapist
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178
Physical Therapist
22180 PONTIAC TRL STE E
SOUTH LYON, MI 48178

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 Amanda Blackburn's NPI number?

The NPI number for Amanda Blackburn is 1467941955. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Amanda Blackburn located?

Amanda Blackburn practices at 22180 Pontiac Trl Ste E, South Lyon, MI 48178. The listed phone number is (248) 446-0155.

What is Amanda Blackburn's specialty?

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

Is Amanda Blackburn enrolled in Medicare?

Yes. Amanda Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Blackburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Amanda Blackburn 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 Amanda Blackburn was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.