MR. STAN E. BLACKBURN MS, PT
NPI 1780893230
Specialist in Mansfield, TX

Q: What is Stan Blackburn's NPI number?

The NPI number for Stan Blackburn is 1780893230. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Stan Blackburn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Stan Blackburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 22, 2007

4003 CALLOWAY DR, MANSFIELD, TX 76063(817) 727-3182(682) 518-5603 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Stan E. Blackburn Ms, Pt NPPES

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

MR. STAN E. BLACKBURN MS, PT (NPI 1780893230) is an individual specialist in Mansfield, Texas, licensed in Texas (1027654) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1780893230

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. STAN E. BLACKBURNCredential: MS, PT

Location Address4003 CALLOWAY DRMansfield, TX 76063-3448

Mailing Address4003 Calloway DrMansfield, TX 76063-3448 · (817) 727-3182 · Fax (682) 518-5603

Phone(817) 727-3182

Fax(682) 518-5603

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780893230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · 1027654

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4003 CALLOWAY DR, Mansfield, TX 76063

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Other Identifiers 1

Other1027654TX · Physical Therapist

Other Providers at the Same Location NPPES

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

BOYZNBERRY CORPORATION

Contractor

4003 CALLOWAY DR
MANSFIELD, TX 76063

Tarrant County (817) 727-3182

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 Stan Blackburn's NPI number?

The NPI number for Stan Blackburn is 1780893230. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Stan Blackburn located?

Stan Blackburn practices at 4003 Calloway Dr, Mansfield, TX 76063. The listed phone number is (817) 727-3182.

What is Stan Blackburn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stan Blackburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.