Individual provider Active NPI

Dustin W Blankenship, PT

  • Physical Therapist
  • Cedar Hill, TX
National Provider Identifier
1194285791
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1301879 Issued in TX
Practice address
458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138
Phone
(469) 272-3129
Fax
(469) 272-3145
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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 1301879 TX Primary

Addresses

Primary practice location

458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138

Mailing address

458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138
Phone (469) 272-3129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002756 TX Practitioner - Physical Therapist in Private Practice 5991035685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1675 Republic Pkwy
Suite 101
Mesquite, TX 75150-6902
Phone (469) 436-2321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Physical Therapy LLC Physical Therapist CurrentSince May 15, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Neo Physical Therapy LLC Current Accepting new patients

Locations

2710 N Josey Ln
Ste 301
Carrollton, TX 75007
Phone (214) 483-3550

458 N Highway 67
Ste 100
Cedar Hill, TX 75104
Phone (469) 272-3129

3824 S Carrier Pkwy
Ste 470
Grand Prairie, TX 75052
Phone (972) 262-9972

3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972

909 Tripp Rd
Ste 150
Mesquite, TX 75150
Phone (972) 681-6460

1675 Republic Pkwy
Ste 101
Mesquite, TX 75150
Phone (469) 585-2327

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1194285791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N HIGHWAY 67 STE 100",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042138",
            "telephone_number": "469-272-3129",
            "fax_number": "469-272-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N HIGHWAY 67 STE 100",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042138",
            "telephone_number": "469-272-3129",
            "fax_number": "469-272-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "DUSTIN",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1301879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.