BLAINE ERIC BOOHER (PT) – Orthopedic Physical Therapist, NPI 1013221373

BLAINE ERIC BOOHER (PT) is a healthcare provider. based in Round rock, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1191290 (TX). The NPI Number for BLAINE ERIC BOOHER (PT) is 1013221373

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
BLAINE ERIC BOOHER (PT)
NPI
1013221373
Phone
(512) 388-1448
Address
16020 PARK VALLEY DR
Enumeration Date
28 July 2010
Last Update Date
28 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773679772
Graduation Year
2009 (17 years ago)
PAC ID
8921417718
Group Practice PAC ID
2769723162
Professional Enrollment ID
I20210506003097
Address ID
TX752207802DA4205XHWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for BLAINE ERIC BOOHER (PT)

  • 16020 PARK VALLEY DR

    ROUND ROCK, TX 786813573

    Phone: (512) 388-1448

    Fax: (512) 388-7854

    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: 2023-06-21

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
I20210506003097IPhysical Therapist In Private PracticeTXTBD
I20230621002554IPhysical Therapist In Private PracticeNMTBD

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 minutes1,27061$0
97116Therapy procedure for walking training, each 15 minutes80451$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes64551$0
97530Therapy procedure using functional activities43250$0
97140Therapy procedure using manual technique, each 15 minutes9815$0
View full utilization report →

Insurance plans in this area (ZIP 78681)

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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: 2769723162View full group profile
NameSpecialtyState
Qualified Speech Language PathologistTX
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeAZ
Qualified Speech Language PathologistMO
Qualified Speech Language PathologistWI
Physical Therapist In Private PracticePA
Family PracticeTN
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeAR
Occupational Therapist In Private PracticeNC

Reviews

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Frequently asked questions

Is BLAINE ERIC BOOHER (PT) listed with a National Provider Identifier?
Yes — BLAINE ERIC BOOHER (PT) has NPI 1013221373 on file in the registry.
Is BLAINE ERIC BOOHER (PT) still an active registrant?
BLAINE ERIC BOOHER (PT) carries an active NPI according to the public dataset.
What kind of doctor is BLAINE ERIC BOOHER (PT)?
BLAINE ERIC BOOHER (PT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BLAINE ERIC BOOHER (PT)?
Travel planning: use Round Rock, Texas as the reference point for BLAINE ERIC BOOHER (PT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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