ELIZABETH RENEE BLACKWELL (PT) – Physical Therapist, NPI 1467924720

ELIZABETH RENEE BLACKWELL (PT) is a healthcare provider. based in Bryan, Texas. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 1080687 (TX). The NPI Number for ELIZABETH RENEE BLACKWELL (PT) is 1467924720

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH RENEE BLACKWELL (PT)
NPI
1467924720
Phone
(979) 774-9958
Address
3700 CROSS PARK DR
Enumeration Date
27 December 2018
Last Update Date
27 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9797749958
Graduation Year
1992 (34 years ago)
PAC ID
5193064889
Group Practice PAC ID
6507831773
Professional Enrollment ID
I20190225000433
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for ELIZABETH RENEE BLACKWELL (PT)

  • 3700, Cross Park Drive, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778024137

    Phone: (979) 774-9958

    Fax: (979) 774-9978

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507831773View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH RENEE BLACKWELL (PT)?
NPI 1467924720 is assigned to ELIZABETH RENEE BLACKWELL (PT) under the national enumeration system.
Is ELIZABETH RENEE BLACKWELL (PT) active in the national directory?
ELIZABETH RENEE BLACKWELL (PT)'s public NPI profile is in an active state.
What kind of provider is ELIZABETH RENEE BLACKWELL (PT)?
The page reflects Physical Therapist for ELIZABETH RENEE BLACKWELL (PT). Clinical services aligned with this taxonomy classification.
Where does public data place ELIZABETH RENEE BLACKWELL (PT)?
The snapshot lists Bryan, Texas for ELIZABETH RENEE BLACKWELL (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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