BLAKE RYAN (DPT) – Physical Therapist, NPI 1174309116

BLAKE RYAN (DPT) is a healthcare provider. based in Bettendorf, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 113256 (IA). The NPI Number for BLAKE RYAN (DPT) is 1174309116

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE RYAN (DPT)
NPI
1174309116
Phone
(563) 322-0971
Address
2300 53RD AVE STE 100
Enumeration Date
6 September 2023
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633220971
Graduation Year
2022 (4 years ago)
PAC ID
6507210465
Group Practice PAC ID
6406741784
Professional Enrollment ID
I20231002000782
Address ID
IA528061861DA6101XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for BLAKE RYAN (DPT)

  • 2300 53RD AVE STE 100

    BETTENDORF, IA 527227565

    Phone: (563) 322-0971

    Type: Mailing

  • 2300 53RD AVE STE LL02

    BETTENDORF, IA 527227565

    Phone: (563) 449-7000

    Fax: (563) 449-7099

    Type: Location

  • 6101 Northwest Blvd

    Davenport, IA 528061861

    Phone: (563) 449-7004

    Fax: (563) 449-7094

    Type: Location

  • 5250 COMPETITION DR STE 100

    BETTENDORF, IA 527228837

    Phone: (563) 322-0971

    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: 2023-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230926002194IPhysical Therapist In Private PracticeILTBD
I20231002000782IPhysical Therapist In Private PracticeIATBD

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
97530Therapy procedure using functional activities14430$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11827$0
97140Therapy procedure using manual technique, each 15 minutes4715$0
View full utilization report →

Insurance plans in this area (ZIP 52722)

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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: 6406741784View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryIA
-SC
Physical Therapist In Private PracticeIA
-IA
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIA
Orthopedic SurgeryIA
Physician AssistantIA
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

Does BLAKE RYAN (DPT) have a public NPI I can cite?
Public records show BLAKE RYAN (DPT) under NPI 1174309116.
Quick check: is BLAKE RYAN (DPT) active?
Public NPPES data shows BLAKE RYAN (DPT) with an active NPI status right now.
What type of care does BLAKE RYAN (DPT) provide?
BLAKE RYAN (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is BLAKE RYAN (DPT) tied to Bettendorf, Iowa?
If you are local to Bettendorf, Iowa, BLAKE RYAN (DPT) may be relevant to your search.
Why is information missing for BLAKE RYAN (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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