KYLE BLAIR (PT) – Physical Therapist, NPI 1235785015

KYLE BLAIR (PT) is a healthcare provider. based in Sanford, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT34768 (FL). The NPI Number for KYLE BLAIR (PT) is 1235785015

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KYLE BLAIR (PT)
NPI
1235785015
Phone
(407) 688-0070
Address
1200 LEXINGTON GREEN LN
Enumeration Date
16 August 2019
Last Update Date
16 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308002444
Graduation Year
2019 (7 years ago)
PAC ID
5991122962
Group Practice PAC ID
3870785132
Professional Enrollment ID
I20230721000979
Address ID
IL606575083CH2835XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KYLE BLAIR (PT)

  • 1200 LEXINGTON GREEN LN

    SANFORD, FL 327711013

    Phone: (407) 688-0070

    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: 2023-07-21

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
I20230721000979IPhysical Therapist In Private PracticeILTBD

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 minutes29420$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21824$0
97530Therapy procedure using functional activities14924$0
View full utilization report →

Insurance plans in this area (ZIP 32771)

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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: 3870785132View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
-IL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIL

Reviews

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Frequently asked questions

How do payers reference KYLE BLAIR (PT)?
For KYLE BLAIR (PT), use NPI 1235785015 as the unique 10-digit identifier.
Is KYLE BLAIR (PT) shown as active in public data?
Registry records indicate KYLE BLAIR (PT) maintains an active NPI.
What area of care is associated with KYLE BLAIR (PT)?
KYLE BLAIR (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KYLE BLAIR (PT)?
Directory geography for KYLE BLAIR (PT) centers on Sanford, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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