Taylor Daniel Blattenberger, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305212337 Issued in VA

Practice address

1749 N Stewart St Ste 50
Carson City, NV 89706-2574

Phone

(775) 392-3689

Fax

(775) 783-6191

NPI assigned

Aug 29, 2018

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, CO, NC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unc Physicians Group Practices II LLCGroup PAC ID 2466865944, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tblattenberger1079210@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unc Physicians Group Practices II, LLC

  dba UNC Health Cary Orthopaedic and Sports Medicine Specialists

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cary, NC
  • NPI 1053919183
  Medicare reassignment Care Compare group NPD
• Excel Rehabilitation, PLLC

  • Specialist
  • Fairfax, VA
  • NPI 1922091032
  Medicare reassignment NPD
• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1346896081
  Medicare reassignment NPD
• Mary Washington Healthcare Physicians

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
  • NPI 1740853035
  NPD
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1083223895
  NPD
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1942279567
  NPD

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1144701954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N STEWART ST STE 50",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062574",
            "telephone_number": "775-392-3689",
            "fax_number": "775-783-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N STEWART ST STE 50",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062574",
            "telephone_number": "775-392-3689",
            "fax_number": "775-783-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 SE Cary Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187413",
            "country_code": "US",
            "telephone_number": "919-467-7801",
            "fax_number": "919-235-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLATTENBERGER",
        "first_name": "TAYLOR",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21421",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305212337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tblattenberger1079210@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1120 SE Cary Pkwy Ste 101",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Birch Medical and Skin Care PLLC
• Edward Lee Birdsong, M.D.
• Stefanie Bischoff, RN
• Tessa Black, MD
• Catherine Blanchard, PA-C
• Kristina Elizabeth Blevins
• Lola Blinn
• Jason Blocker
• Bluebird Manual Therapy LLC
• Austin Lee Blystone

• Orthopedic Physical Therapist in Carson City, NV
• Providers in Carson City, NV by specialty
• Orthopedic Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.