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Active NPI 1053856070 Individual Practitioner Male Practitioner

Dr. Michael David Blackledge , DPT

Physical Therapist • Burien, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Blackledge, DPT is a registered healthcare professional specializing in Physical Therapist in Burien, WA. Practice services are available at 15811 AMBAUM BLVD SW STE 140 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, re-evaluation for physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15811 Ambaum Blvd Sw Ste 140

Burien, WA 98166

Telephone 2063279880
Associated Practice Facility / Clinic
🏢 Pain Science Physical Therapy Facility NPI 1053545319

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Burien, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Burien, WA (7580 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
770 27 $50.00 $34.06
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
147 19 $50.00 $28.98
97164 Re-evaluation for physical therapy, typically 20 minutes
38 20 $65.00 $64.33
97161 Evaluation of physical therapy, typically 20 minutes
11 11 $115.00 $95.04

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License CA PT291773

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Practice Locations

15811 Ambaum Blvd Sw Ste 140

Burien, WA 98166

Phone: 2063279880

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Ernesto Garcia-Molina , DPT

Physical Therapist - Orthopedic

NPI 1174251565

Doctor of Physical Therapy

Dr. Melissa Snyder , DPT

Physical Therapist - Orthopedic

NPI 1366118010

Doctor of Physical Therapy

Dr. Rebecca Cheney , DPT

Physical Therapist

NPI 1447808084

Doctor of Physical Therapy

NPI 1497163778

Doctor of Physical Therapy

Dr. Joseph Koenig , DPT

Physical Therapist

NPI 1568905651

Doctor of Physical Therapy

Dr. Katherine Arave , DPT

Physical Therapist

NPI 1710481312

Doctor of Physical Therapy

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 04, 2019

Registered at 15811 AMBAUM BLVD SW STE 140, BURIEN, WA 98166 (Tel: 2063279880)

📍
Updated Business Mailing Address May 04, 2019

Registered at 15811 AMBAUM BLVD SW STE 140, BURIEN, WA 981663066 (Tel: 2063279880)

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2016

Registered at 1035 AVIATION BLVD., HERMOSA BEACH, CA 90254 (Tel: 3109372323)

📍
Updated Business Mailing Address December 29, 2016

Registered at 1035 AVIATION BLVD., HERMOSA BEACH, CA 90254 (Tel: 3109372323)

👤
Provider Name / Credentials Updated December 29, 2016

Recorded as MICHAEL BLACKLEDGE, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Physical Therapist (License #PT291773 in CA)

🟢
Initial NPI Registration & Enumeration December 29, 2016

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: 1053856070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2016
Last Update: May 04, 2019
Sole Proprietor: Yes

Mailing Address

15811 Ambaum Blvd Sw Ste 140

Burien, WA 981663066

Phone: 2063279880

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.