BLAIR GASTON – Physical Therapist, NPI 1487260790

BLAIR GASTON is a healthcare provider. based in Lutz, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT36044 (FL). The NPI Number for BLAIR GASTON is 1487260790

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR GASTON
NPI
1487260790
Phone
Not provided
Address
21756 STATE ROAD 54 STE 102
Enumeration Date
22 September 2020
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8638770605
Graduation Year
2020 (6 years ago)
PAC ID
5496175200
Group Practice PAC ID
2466784616
Professional Enrollment ID
I20201016000953
Address ID
FL338842241WI5535XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for BLAIR GASTON

  • 21756 STATE ROAD 54 STE 102

    LUTZ, FL 335492905

    Phone:

    Type: Mailing

  • 5535 CYPRESS GARDENS BLVD STE 260

    WINTER HAVEN, FL 338842241

    Phone: (863) 877-0605

    Type: Location

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: 2020-10-16

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
I20201016000953IPhysical Therapist In Private PracticeFLTBD

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 minutes83544$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes34640$0
97530Therapy procedure using functional activities24731$0
97140Therapy procedure using manual technique, each 15 minutes7018$0
97161Evaluation for physical therapy, typically 20 minutes3028$0
View full utilization report →

Insurance plans in this area (ZIP 33549)

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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: 2466784616View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

Is BLAIR GASTON listed with a National Provider Identifier?
Yes — BLAIR GASTON has NPI 1487260790 on file in the registry.
Would BLAIR GASTON appear as active to a payer?
You can treat BLAIR GASTON as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BLAIR GASTON?
BLAIR GASTON is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is BLAIR GASTON registered?
Use Lutz, Florida as the headline location for BLAIR GASTON here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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