MR. MARK ANDREW BLANK (DPT, ATC, LAT) – Physical Therapist, NPI 1831340264

MR. MARK ANDREW BLANK (DPT, ATC, LAT) is a healthcare provider. based in Jensen beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC, LAT. They hold a License No. AL2569 (FL). The NPI Number for MR. MARK ANDREW BLANK (DPT, ATC, LAT) is 1831340264

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK ANDREW BLANK (DPT, ATC, LAT)
NPI
1831340264
Phone
(800) 735-1178
Address
4243 NW Federal Hwy
Enumeration Date
3 October 2008
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3214368247
Graduation Year
2012 (14 years ago)
PAC ID
3173890456
Professional Enrollment ID
I20170517002914
Address ID
FL334583029JU550XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MR. MARK ANDREW BLANK (DPT, ATC, LAT)

  • 4243 NW Federal Hwy

    Jensen Beach, FL 349573600

    Phone: (800) 735-1178

    Fax: (772) 223-6354

    Type: Location

  • 1736, South Congress Avenue, Palm Springs, Palm Beach County, Florida, 33406, United States

    PALM SPRINGS, FL 334612140

    Phone: (561) 649-0321

    Fax: (561) 649-3931

    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: 2017-05-17

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
I20170517002914IPhysical 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 minutes1,49775$0
97140Therapy procedure using manual technique, each 15 minutes1,06974$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes59156$0
97161Evaluation for physical therapy, typically 20 minutes7963$0
View full utilization report →

Insurance plans in this area (ZIP 34957)

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Reviews

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Frequently asked questions

What identifier follows MR. MARK ANDREW BLANK (DPT, ATC, LAT) across health systems?
The NPI 1831340264 uniquely identifies MR. MARK ANDREW BLANK (DPT, ATC, LAT) in U.S. healthcare data.
Does the public listing show MR. MARK ANDREW BLANK (DPT, ATC, LAT) as active?
MR. MARK ANDREW BLANK (DPT, ATC, LAT)'s NPI record reflects an active status in NPPES.
What services align with MR. MARK ANDREW BLANK (DPT, ATC, LAT)'s listing?
MR. MARK ANDREW BLANK (DPT, ATC, LAT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. MARK ANDREW BLANK (DPT, ATC, LAT)?
The directory associates MR. MARK ANDREW BLANK (DPT, ATC, LAT) with Jensen Beach, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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