Individual provider Active NPI

Thomas Blahovec, P.T.

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1144696626
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209101 Issued in VA
Practice address
Andrew Rader US Army Health Clinic 401 Carpenter Road
RM 1042
Arlington, VA 22204
Phone
(833) 853-1392
Fax
(888) 501-0356
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209101 VA Primary

Addresses

Primary practice location

Andrew Rader US Army Health Clinic 401 Carpenter Road
RM 1042
Arlington, VA 22204

Mailing address

Kimbrough Ambulatory Care Center 2481 Llewellyn Ave
Fort George G. Meade
Ft. George G. Meade, MD 20755-5129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305209101VAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1144696626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KIMBROUGH AMBULATORY CARE CENTER 2481 LLEWELLYN AVE",
            "address_2": "FORT GEORGE G. MEADE",
            "city": "FT. GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "207555129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANDREW RADER US ARMY HEALTH CLINIC 401 CARPENTER ROAD",
            "address_2": "RM 1042",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "833-853-1392",
            "fax_number": "888-501-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHOVEC",
        "first_name": "THOMAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.