ANDREW KEITH MAZUR (DPT) – Physical Therapist, NPI 1902899719
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
3,100 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA
Provider Addresses for ANDREW KEITH MAZUR (DPT)
46440 BENEDICT DR
SUITE 107
STERLING, VA 201646602
Phone: (703) 450-1125
Fax: (703) 450-1145
Type: Location
17334, Troyer Road, Troyer, Monkton, Baltimore County, Maryland, 21111, United States
BALTIMORE, MD 212971334
Phone: (703) 443-6717
Fax: (703) 443-8643
Type: Mailing
46440 Benedict Dr
Suite 107
Sterling, VA 201646602
Phone: (703) 450-1125
Fax: (703) 450-1145
Type: Location
24430 STONE SPRINGS BLVD STE 400
DULLES, VA 201662268
Phone: (703) 776-5040
Fax: (703) 776-5047
Type: Location
PO BOX 37189
BALTIMORE, MD 212973189
Phone: (571) 423-5699
Fax: (571) 423-5698
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.
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: 2015-12-02
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121231000061 | I | Physical Therapist In Private Practice | VA | TBD |
| I20151202000177 | I | Physical Therapist In Private Practice | DC | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 340 | 28 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 221 | 27 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 217 | 27 | $0 |
| 97530 | Therapy procedure using functional activities | 120 | 28 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 20164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Family Practice | MD | |
| Family Practice | MD | |
| Physician Assistant | VA | |
| Family Practice | VA | |
| Family Practice | MD | |
| Physician Assistant | VA |
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