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

Mr. Michael David Blackledge, DPT

Individual provider Physical Therapist · NPI 1053856070

Mr. Michael David Blackledge, DPT is a Physical Therapist in Burien, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

15811 Ambaum Blvd SW Ste 140
Burien, WA 98166
Phone: (206) 327-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 — (206) 327-9880

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT291773 (CA)

Record details

NPI number1053856070
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 29, 2016
Last updated in NPPESMay 4, 2019

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