MR. TAYLOR DANIEL BLATTENBERGER (DPT) – Orthopedic Physical Therapist, NPI 1144701954
Orthopedic Physical Therapist
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NPPES metrics only — not quality of care.
3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA
Provider Addresses for MR. TAYLOR DANIEL BLATTENBERGER (DPT)
1, Fairfax Boulevard, Cloutier Court, Blue Rock Manor, New Castle County, Delaware, 19803, United States
FAIRFAX, VA 220301702
Phone: (703) 383-1616
Fax: (703) 383-1166
Type: Mailing
24585 STONE CARVER DR # 275
ALDIE, VA 201052798
Phone: (703) 383-1616
Fax: (703) 383-1166
Type: Location
1120 SE Cary Pkwy Ste 101
Cary, NC 275187413
Phone: (919) 467-7801
Fax: (919) 235-3399
Type: Location
1749 N STEWART ST STE 50
CARSON CITY, NV 897062574
Phone: (775) 392-3689
Fax: (775) 783-6191
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.
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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: 2023-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181116001392 | I | Physical Therapist In Private Practice | VA | TBD |
| I20230926002990 | I | Physical Therapist In Private Practice | CO | TBD |
| I20231106001487 | I | Physical Therapist In Private Practice | NC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 415 | 68 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 283 | 52 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 281 | 54 | $0 |
| 97150 | Therapy procedure in a group setting | 265 | 49 | $0 |
| 97530 | Therapy procedure using functional activities | 178 | 39 | $0 |
Insurance plans in this area (ZIP 22030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | SC | |
| Occupational Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Orthopedic Surgery | NC | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Physical Medicine And Rehabilitation | NC | |
| Orthopedic Surgery | NC |
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