Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Alexander Blanton

Individual provider Physical Therapist · NPI 1285418715

Connor Alexander Blanton is a Physical Therapist in Private Practice in Johnson City, Tennessee. Qualified in 2022, 4 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
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Practice location Address checks out

1043 Jack Vest Dr
Johnson City, TN 37614
Phone: (423) 439-5264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 E Ravine Rd, Kingsport, TN 37660-3814 — (423) 245-9600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14375 (TN)

Record details

NPI number1285418715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City