MR. JOHN DONALD BLACKBURN II
NPI 1700417490
Specialist/Technologist - Athletic Trainer in Eagle Lake, FL

Q: What is John Blackburn's NPI number?

The NPI number for John Blackburn is 1700417490. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Q: What is John Blackburn's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for John Blackburn was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 31, 2020

1995 THUNDER RD, EAGLE LAKE, FL 33839(863) 224-4085 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. John Donald Blackburn Ii NPPES

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

MR. JOHN DONALD BLACKBURN II (NPI 1700417490) is an individual athletic trainer provider in Eagle Lake, Florida, licensed in Florida (5880) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1700417490

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JOHN DONALD BLACKBURN II

Location Address1995 THUNDER RDEagle Lake, FL 33839-3086

Mailing Address367 Holly Ridge RdWinter Haven, FL 33880-1114 · (863) 224-4085

Phone(863) 224-4085

Sole ProprietorYes

Enumeration DateJanuary 31, 2020

✔ NPI 1700417490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · 5880

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1995 THUNDER RD, Eagle Lake, FL 33839

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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 John Blackburn's NPI number?

The NPI number for John Blackburn is 1700417490. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is John Blackburn located?

John Blackburn practices at 1995 Thunder Rd, Eagle Lake, FL 33839. The listed phone number is (863) 224-4085.

What is John Blackburn's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for John Blackburn was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.