Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780418590 Individual Practitioner Female Practitioner

Brooke Blackmon

Physical Therapy Assistant • Southgate, MI

Professional Overview & Biography Verified Profile Summary

Brooke Blackmon is a registered healthcare professional specializing in Physical Therapy Assistant in Southgate, MI. Practice services are available at 15400 NORTHLINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15400 Northline Rd

Southgate, MI 481952689

Telephone 7342850100
Fax 7342850101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Southgate, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Southgate, MI (2023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-27
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License MI 5502008669

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Secondary Practice Locations

20059 King Rd

Woodhaven, MI 481831032

Phone: 7343655112

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Cristina Howell , PTA

Physical Therapy Assistant

NPI 1033575915

Physical Therapist Assistant

Dr. Janessa Hughes , DPT

Physical Therapist

NPI 1063765162

Doctor of Physical Therapy

Dr. Jaime Rodriguez , DPT

Physical Therapist

NPI 1093215766

Doctor of Physical Therapy

Alexander Knell

Physical Therapy Assistant

NPI 1093694937
Scott Delcomyn , PT

Physical Therapist

NPI 1386661742

Physical Therapist

Alexander Chadwick

Physical Therapist

NPI 1457203648

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2024

Registered at 15400 NORTHLINE RD, SOUTHGATE, MI 481952689 (Tel: 7342850100)

📍
Updated Business Mailing Address September 03, 2024

Registered at 33900 HARPER AVE STE 104, CLINTON TWP, MI 480354258

👤
Provider Name / Credentials Updated September 03, 2024

Recorded as BROOKE BLACKMON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Physical Therapy Assistant (License #5502008669 in MI)

🟢
Initial NPI Registration & Enumeration August 26, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780418590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2024
Last Update: June 27, 2025
Sole Proprietor: No

Mailing Address

33900 Harper Ave Ste 104

Clinton Twp, MI 480354258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.