Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093201725 Individual Practitioner Male Practitioner

John Blackwell

Specialist/Technologist - Athletic Trainer • Dallas, TX

Professional Overview & Biography Verified Profile Summary

John Blackwell is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Dallas, TX. Practice services are available at 5800 OWNBY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5800 Ownby Dr

Dallas, TX 75205

Telephone 2147685833
Associated Practice Facility / Clinic
🏢 Southern Methodist University Facility NPI 1215289632

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
98 Specialists

Practicing in Dallas, TX (3033 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: 2023-01-10
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tdlr
AT8826 (TX)
Commercial Insurance / Payer ID Boc
2000038921

Secondary Practice Locations

5106 Mayberry St Apt 2201

Omaha, NE 681061767

Phone: 8165178806

6001 Dodge St

Omaha, NE 681821767

Phone: 8165178806

Practice Associates & Co-Workers

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

5 Associated Practitioners
Honami Kaieda , MED, ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1093069957

Master of Education, Certified Athletic Trainer, Licensed Athletic Trainer

Josh Stevens , MS, ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1194855890

Master of Science, Certified Athletic Trainer, Licensed Athletic Trainer

Ann Chapman , ATC

Specialist/Technologist - Athletic Trainer

NPI 1457193047

Certified Athletic Trainer

Rebecca Rolke , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1821128182

Certified Athletic Trainer, Licensed Athletic Trainer

Ian Chennell , MAT, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1952922353

MAT, Licensed Athletic Trainer, Certified Athletic Trainer

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 11, 2023

Registered at 5800 OWNBY DR, DALLAS, TX 75205 (Tel: 2147685833)

📍
Updated Business Mailing Address January 11, 2023

Registered at 5118 HOMER ST, DALLAS, TX 752066622 (Tel: 8165178806)

📍
Updated Practice Location May 11, 2020

Registered at 6001 DODGE ST, OMAHA, NE 681821767 (Tel: 8165178806)

NPI Profile Active July 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2018

Registered at 5106 MAYBERRY ST APT 2201, OMAHA, NE 681061767 (Tel: 8165178806)

📍
Updated Business Mailing Address July 05, 2018

Registered at 5106 MAYBERRY ST APT 2201, OMAHA, NE 681061767 (Tel: 8165178806)

👤
Provider Name / Credentials Updated July 05, 2018

Recorded as JOHN BLACKWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration July 05, 2018

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: 1093201725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2018
Last Update: January 11, 2023
Sole Proprietor: No

Mailing Address

5118 Homer St

Dallas, TX 752066622

Phone: 8165178806

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.