Individual provider Active NPI

Seth Daniel Blankenship, PT, DPT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1174205314
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1379060 Issued in TX
Practice address
2217 Park Bend Dr Ste 240
Austin, TX 78758-5674
Phone
(832) 866-3073
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1379060 TX Primary

Addresses

Primary practice location

2217 Park Bend Dr Ste 240
Austin, TX 78758-5674

Mailing address

1400 Rivery Blvd Apt 4210
Georgetown, TX 78628-3039
Phone (832) 866-3073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003408 TX Practitioner - Physical Therapist in Private Practice 6305286733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashler Gowen, LLCGroup PAC ID 2668827593, 3 clinicians
Symmetry Physical Therapy LLCGroup PAC ID 6507016466, 5 clinicians

Practice addresses (Care Compare)

1502 Blue Ridge Dr
Suite 304
Georgetown, TX 78626-1002
Phone (512) 339-1500

2217 Park Bend Dr
Suite 240
Austin, TX 78758-5674
Phone (512) 339-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashler Gowen, LLC Orthopedic CurrentSince Nov 4, 2024 Accepting new patients
Symmetry Physical Therapy, LLC Orthopedic CurrentSince Apr 1, 2024 Accepting new patients

Locations

2217 Park Bend Dr
Ste 240
Austin, TX 78758
Phone (512) 339-1500

1502 Blue Ridge Dr
Ste 304
Georgetown, TX 78626
Phone (512) 339-1500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1174205314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 RIVERY BLVD APT 4210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283039",
            "telephone_number": "832-866-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PARK BEND DR STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585674",
            "telephone_number": "832-866-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "SETH",
        "middle_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1379060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.