WREN BLACKWELL (PT, DPT) – Physical Therapist, NPI 1164853412

WREN BLACKWELL (PT, DPT) is a healthcare provider. based in Mechanicsville, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2305208187 (VA). The NPI Number for WREN BLACKWELL (PT, DPT) is 1164853412

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
WREN BLACKWELL (PT, DPT)
NPI
1164853412
Phone
(804) 569-1787
Address
8201 ATLEE RD
Enumeration Date
11 December 2013
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047568490
Graduation Year
2013 (13 years ago)
PAC ID
1254560774
Group Practice PAC ID
3779588256
Professional Enrollment ID
I20140204000338
Address ID
VA232282428RI3001XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for WREN BLACKWELL (PT, DPT)

  • 8201 ATLEE RD

    SUITE D

    MECHANICSVILLE, VA 231161815

    Phone: (804) 569-1787

    Fax: (804) 569-9787

    Type: Location

  • 3001 HUNGARY SPRING RD STE D

    RICHMOND, VA 232282428

    Phone: (804) 756-8490

    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: 2014-02-04

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
I20140204000338IPhysical Therapist In Private PracticeVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23116)

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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: 3779588256View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
-MD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

How is WREN BLACKWELL (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists WREN BLACKWELL (PT, DPT) with NPI 1164853412.
Does the file indicate WREN BLACKWELL (PT, DPT) is practicing under active NPI?
Directory data currently reports WREN BLACKWELL (PT, DPT) as active.
What is WREN BLACKWELL (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for WREN BLACKWELL (PT, DPT) here. Clinical services aligned with this taxonomy classification.
Where is WREN BLACKWELL (PT, DPT) based?
WREN BLACKWELL (PT, DPT) is tied to Mechanicsville, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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