MRS. STEPHANIE MARIE BLOUGH (PT) – Physical Therapist, NPI 1316946759

MRS. STEPHANIE MARIE BLOUGH (PT) is a healthcare provider. based in Simi valley, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT29076 (CA). The NPI Number for MRS. STEPHANIE MARIE BLOUGH (PT) is 1316946759

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE MARIE BLOUGH (PT)
NPI
1316946759
Phone
(805) 577-6269
Address
2345 ERRINGER RD
Enumeration Date
19 July 2005
Last Update Date
12 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055820007
Graduation Year
2003 (23 years ago)
PAC ID
6204722952
Professional Enrollment ID
I20040227000529
Address ID
CA930652250SI2345XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MRS. STEPHANIE MARIE BLOUGH (PT)

  • Dr. Porter Sports Chiropractic & Wellness, 2345, Erringer Road, Simi Valley, Ventura County, California, 93065, United States

    SUITE 210

    SIMI VALLEY, CA 930652235

    Phone: (805) 577-6269

    Fax: (805) 582-0003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040227000529IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30918$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14112$0
97140Therapy procedure using manual technique, each 15 minutes14017$0
97161Evaluation for physical therapy, typically 20 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 93065)

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Provider's Procedures

MRS. STEPHANIE MARIE BLOUGH (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63231
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes13312

Reviews

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Frequently asked questions

Does MRS. STEPHANIE MARIE BLOUGH (PT) have a public NPI I can cite?
Public records show MRS. STEPHANIE MARIE BLOUGH (PT) under NPI 1316946759.
Is MRS. STEPHANIE MARIE BLOUGH (PT)'s NPI status active today?
Active status means MRS. STEPHANIE MARIE BLOUGH (PT)'s NPI record is not deactivated in the public file.
What type of care does MRS. STEPHANIE MARIE BLOUGH (PT) provide?
MRS. STEPHANIE MARIE BLOUGH (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. STEPHANIE MARIE BLOUGH (PT) in Simi Valley, California?
For routing, start with Simi Valley, California for MRS. STEPHANIE MARIE BLOUGH (PT), then verify phone and hours locally.
Can I export MRS. STEPHANIE MARIE BLOUGH (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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