MRS. JODY REBECCA BLACK (PT) – Physical Therapist, NPI 1215133764

MRS. JODY REBECCA BLACK (PT) is a healthcare provider. based in Altoona, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT013854L (PA). The NPI Number for MRS. JODY REBECCA BLACK (PT) is 1215133764

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODY REBECCA BLACK (PT)
NPI
1215133764
Phone
(814) 943-8250
Address
1511 SAINT FRANCIS LN
Enumeration Date
22 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142245566
Graduation Year
2002 (24 years ago)
PAC ID
9234550757
Group Practice PAC ID
3476790767
Professional Enrollment ID
I20200609000010
Address ID
PA166731600RO7448XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for MRS. JODY REBECCA BLACK (PT)

  • 1511, St Francis Lane, Greenwood, Logan Township, Blair County, Pennsylvania, 16602, United States

    ALTOONA, PA 166027364

    Phone: (814) 943-8250

    Type: Mailing

  • 929, 14th Street, Huntingdon, Huntingdon County, Pennsylvania, 16652, United States

    HUNTINGDON, PA 166523028

    Phone: (814) 643-0337

    Fax: (814) 643-9231

    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: 2020-06-09

PECOS data refreshed: 2026-06-15

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
I20200609000010IPhysical Therapist In Private PracticePATBD

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 activities12013$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10617$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10616$0
97140Therapy procedure using manual technique, each 15 minutes3612$0
View full utilization report →

Insurance plans in this area (ZIP 16602)

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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: 3476790767View full group profile
NameSpecialtyState
-PA
-PA
Qualified Speech Language PathologistPA
Family PracticePA
Family PracticePA
Internal MedicinePA
Physical Therapist In Private PracticePA
-PA
Neurology, Pain ManagementPA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

What is the standard ID for MRS. JODY REBECCA BLACK (PT) in the U.S.?
In the U.S., MRS. JODY REBECCA BLACK (PT) is identified by NPI 1215133764.
Does the public listing show MRS. JODY REBECCA BLACK (PT) as active?
MRS. JODY REBECCA BLACK (PT)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. JODY REBECCA BLACK (PT) does?
Insurance directories may phrase it differently, but here MRS. JODY REBECCA BLACK (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. JODY REBECCA BLACK (PT)?
The directory associates MRS. JODY REBECCA BLACK (PT) with Altoona, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I export MRS. JODY REBECCA BLACK (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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