DANIELLE BLALOCK (DPT) – Physical Therapist, NPI 1871029793

DANIELLE BLALOCK (DPT) is a healthcare provider. based in Bastrop, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1289875 (TX). The NPI Number for DANIELLE BLALOCK (DPT) is 1871029793

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE BLALOCK (DPT)
NPI
1871029793
Phone
(512) 308-7450
Address
205 HIDDEN SPRINGS DR
Enumeration Date
11 May 2017
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123219659
Graduation Year
2017 (9 years ago)
PAC ID
5890065106
Group Practice PAC ID
0244399061
Professional Enrollment ID
I20170719002847
Address ID
TX786024166BA623XXWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DANIELLE BLALOCK (DPT)

  • 205 HIDDEN SPRINGS DR

    BASTROP, TX 786022170

    Phone: (512) 308-7450

    Fax: (512) 321-1226

    Type: Mailing

  • 5401 LA CROSSE AVE BLDG C

    AUSTIN, TX 787392160

    Phone: (512) 852-8134

    Type: Location

  • 623 HIGHWAY 71 W STE 100

    BASTROP, TX 786024166

    Phone: (512) 321-9659

    Fax: (512) 321-1226

    Type: Mailing

  • 623 HIGHWAY 71 W

    STE. 100

    BASTROP, TX 786024165

    Phone: (512) 321-9659

    Fax: (512) 321-1226

    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: 2017-07-19

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
I20170719002847IPhysical Therapist In Private PracticeTXTBD

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 minutes71353$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53239$0
97161Evaluation for physical therapy, typically 20 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 78602)

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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: 0244399061View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the registry number for DANIELLE BLALOCK (DPT)?
The registry entry for DANIELLE BLALOCK (DPT) shows NPI 1871029793.
Is DANIELLE BLALOCK (DPT) currently accepting referrals based on NPI status?
Registry metadata lists DANIELLE BLALOCK (DPT) as active.
Which specialty label fits DANIELLE BLALOCK (DPT)?
NPPES ties DANIELLE BLALOCK (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DANIELLE BLALOCK (DPT) tied to Bastrop, Texas?
If you are local to Bastrop, Texas, DANIELLE BLALOCK (DPT) may be relevant to your search.
Can I export DANIELLE BLALOCK (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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