MRS. JENNIFER L BLANKE (DPT) – Physical Therapist, NPI 1245359512

MRS. JENNIFER L BLANKE (DPT) is a healthcare provider. based in Kirksville, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 117394 (MO). The NPI Number for MRS. JENNIFER L BLANKE (DPT) is 1245359512

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER L BLANKE (DPT)
NPI
1245359512
Phone
(660) 785-1834
Address
2814 S BALTIMORE ST
Enumeration Date
28 March 2007
Last Update Date
3 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607851834
Graduation Year
2014 (12 years ago)
PAC ID
3678626561
Group Practice PAC ID
5698827525
Professional Enrollment ID
I20090724000144
Address ID
MO635012437KI502XXDRXX300
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

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for MRS. JENNIFER L BLANKE (DPT)

  • 2814 S BALTIMORE ST

    KIRKSVILLE, MO 635014640

    Phone: (660) 785-1834

    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: 2025-06-04

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
I20090724000144IPhysical Therapist In Private PracticeMOTBD
I20250604001995IPhysical Therapist In Private PracticeNYTBD

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 minutes21322$0
97140Therapy procedure using manual technique, each 15 minutes3611$0
97162Evaluation for physical therapy, typically 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63501)

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Provider's Procedures

MRS. JENNIFER L BLANKE (DPT) 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 THERAPYMO97001Physical therapy evaluation111103

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: 5698827525View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
-MO
-IL
Qualified Speech Language PathologistMO
-MO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What NPI should I save for MRS. JENNIFER L BLANKE (DPT)?
Save NPI 1245359512 if you need a stable reference for MRS. JENNIFER L BLANKE (DPT).
Does this profile mean MRS. JENNIFER L BLANKE (DPT) is currently active?
Yes — MRS. JENNIFER L BLANKE (DPT) appears active in the national provider directory.
Does MRS. JENNIFER L BLANKE (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MRS. JENNIFER L BLANKE (DPT). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. JENNIFER L BLANKE (DPT)?
The snapshot lists Kirksville, Missouri for MRS. JENNIFER L BLANKE (DPT); download NPPES for the complete set.
Is MRS. JENNIFER L BLANKE (DPT) a real provider?
This page reflects official NPPES data for NPI 1245359512. Always confirm identity and privileges with the practice and licensing boards.

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