DAVID BLANCHARD (MPT) – Orthopedic Physical Therapist, NPI 1104961697

DAVID BLANCHARD (MPT) is a healthcare provider. based in Edwards, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 9177 (CO). The NPI Number for DAVID BLANCHARD (MPT) is 1104961697

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DAVID BLANCHARD (MPT)
NPI
1104961697
Phone
(979) 926-4600
Address
105 EDWARDS VILLAGE BLVD
Enumeration Date
21 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8584856706
Graduation Year
1995 (31 years ago)
PAC ID
7012925571
Group Practice PAC ID
4789069337
Professional Enrollment ID
I20140612000906
Address ID
CA921282452SA11610PLXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for DAVID BLANCHARD (MPT)

  • 105 EDWARDS VILLAGE BLVD

    A-203

    EDWARDS, CO 816329914

    Phone: (979) 926-4600

    Type: Location

  • PO BOX 2637

    EDWARDS, CO 816322637

    Phone: (970) 926-4600

    Type: Mailing

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: 2014-06-12

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
I20140612000906IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes2,082131$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,670118$0
97530Therapy procedure using functional activities1,499134$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1,00196$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes88880$0
View full utilization report →

Insurance plans in this area (ZIP 81632)

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Provider's Procedures

DAVID BLANCHARD (MPT) 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 THERAPYCO97001Physical therapy evaluation9085
PHYSICAL THERAPYCO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1456140

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789069337View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do I look up DAVID BLANCHARD (MPT) by NPI?
Use NPI 1104961697 when you need to reference DAVID BLANCHARD (MPT) in forms, claims, or directories.
Is DAVID BLANCHARD (MPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DAVID BLANCHARD (MPT) list a primary specialty?
If you are matching referrals, note Orthopedic Physical Therapist for DAVID BLANCHARD (MPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID BLANCHARD (MPT)?
The page summarizes Edwards, Colorado for DAVID BLANCHARD (MPT); expand the address list for detail.
Is DAVID BLANCHARD (MPT) a real provider?
This page reflects official NPPES data for NPI 1104961697. Always confirm identity and privileges with the practice and licensing boards.

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